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1
題名:Roux-en-Y Choledochojejunostomy for Late Complications of Choledochoduodenostomy in A Hepatolithiasis Patient     (10點)
總膽管空腸吻合術治療肝結石術後之晚期併發症:病例報告
著者:Chien-Jen Chang(張建仁) ;Kuo-Shyang Jeng(鄭國祥)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:choledochoduodenostomy ; hepatolithiasis
刊名:Formosan journal of surgery
卷期:38卷4期(2005.8)
頁碼:177-181
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

總膽管十二指腸吻合手術在過去是常使用於 治療膽道結石的手術方式。本篇報導一個接受這種 手術方式的晚期併發症。這名的歲男性,在20 年 前因肝內及總膽管結石在外院接受多次手術' 以總 脂管十二指腸吻合手術為最終治療方式。四年後, 患者因急性膽道炎而首次入院, 經保守治療後出 院。然而在過去這20 年中, 病患因反覆上行性膽 道炎﹒ 肝膽虜而多次住院,最後經由總膽管空腸吻 合手術才得到症狀緩解。因此, 我們建議總膽管十 二指腸吻合手術'應避免使用在肝內結石。如因而 出現症狀,應該早期採取手術方式來矯正。
Choledochoduodenostomy (CD) has been performed for hepatolithiasis in the past. However, it is rarely performed recenthy because of the frequenthy postoperative infection. We present a 65-year-old male who developed repeated ascending cholangitis and liver abscess after CD. Surgical conversion to Roux-en-Y choledochoje. j unostomy relieved the infection. We suggest that CD should be avoided in hepatolithiasis. If complications develop after CD, early surgical conversion is recommended.


    

本卷期目次
Formosan journal of surgery 38卷4期 (2005.8)
One-Stage Removal and Replacement of Tract-Infected Catheter in Continuous Ambulatory Peritoneal Dialysis Patients/ Wei-Chiang HsiaoChung-Jye HungJeng-Jong HuangPo-Chang Lee
Comparing Outcomes of Two Implanted Port Central Venous Access Devices in Cancer Patients/ Shaw-Min HouPa-Chun WangYung-Chuan SungHenry Hsin-Chung LeeHan-Ting LiuYa-Hui Chen
One-stage Management of Obstructed Left Colon by Intracolonic Bypass Procedure/ Ming-Jui YangWen-Chang HsuTe-Chuan ChenSung-Ping WongMeng-Dar Lee
Roux-en-Y Choledochojejunostomy for Late Complications of Choledochoduodenostomy in A Hepatolithiasis Patient/ Chien-Jen ChangKuo-Shyang Jeng
Iatrogenic Burns Sustained from Alcohol during Operation: Report of Two Cases/ Chung-Lin ChenJing-Wei LeeHaw-Yen Chiu
Nephrotoxicity Related to 5-Aminosalicylic Acid Treatment for Ulcerative Colitis: Report of A Case/ Tsai-Yu LeeShih-Hua LinShu-Wen JaoJung-Cheng Kang
Rupture of Mediastinal Schwannoma in A Type II Neurofibromatosis Patient Presenting with Traumatic Hemothorax/ I-Lin HsuWu-Wei LaiWen-Chau ChenMing-Ho Wu
Intercostal Nerve Neurilemoma Presenting with Epigastralgia: Report of A Case/ Honda HsuJun-Tat LeeLi-Fu ChengTsong-Bor SunChien-Hsin WangSou-Hsin Chien
Intraosseous Lipoma of Calcaneus Treated by Autogenous Bone Marrow Graft: Report of A Case/ Yao-Te ChaiFeng-Jen TsengChun-Jung Juan
Huge Splenic Pseudoaneurysm Complicated from Surgery for Pancreatitis: Report of A Case/ Jia-Hong ChenMing-Che LeeHwa-Tzung ChenYao-Jen ChangChao-Chuan WuYu-Min HuangYung-Kang Wu
 
   
 
   

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