Comparisons of the Effect of Balloon Dilatation and Reoperation on Benign Gallbladder Anastomosis

Shao-hua YANG; Yi-hui CHEN; Mao-lin HONG; Sheng HU; Xiao-wen ZHANG

doi:10.12259/j.issn.2095-610X.S20210135

Volume 42 Issue 1

Jan. 2021

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2021 > 42(1): 76-80

Shao-hua YANG, Yi-hui CHEN, Mao-lin HONG, Sheng HU, Xiao-wen ZHANG. Comparisons of the Effect of Balloon Dilatation and Reoperation on Benign Gallbladder Anastomosis[J]. Journal of Kunming Medical University, 2021, 42(1): 76-80. doi: 10.12259/j.issn.2095-610X.S20210135

Citation:

Shao-hua YANG, Yi-hui CHEN, Mao-lin HONG, Sheng HU, Xiao-wen ZHANG. Comparisons of the Effect of Balloon Dilatation and Reoperation on Benign Gallbladder Anastomosis[J]. Journal of Kunming Medical University, 2021, 42(1): 76-80. doi: 10.12259/j.issn.2095-610X.S20210135

Citation:

PDF( 606 KB)

Comparisons of the Effect of Balloon Dilatation and Reoperation on Benign Gallbladder Anastomosis

doi: 10.12259/j.issn.2095-610X.S20210135

Dept. of Hepatobiliary and Pancreatic Surgery，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2020-04-16
Available Online: 2021-01-26
Publish Date: 2021-01-26

Abstract

Abstract

Objective To compare the effects of balloon dilatation and reoperation on benign biliary-enteric anastomotic stenosis. Methods From February 2009 to June 2019, 41 patients with benign biliary and intestinal anastomotic stenosis treated in the Second Affiliated Hospital of Kunming Medical University were retrospectively analyzed, including 18 cases in the balloon dilatation treatment group and 23 cases in the reoperation group. And the treatment time, treatment effect and related complications in the two groups were compared. Results Compared with the re-operation group, the balloon dilatation treatment group had the shorter treatment time and fewer treatment-related complications (P < 0.05) and there was no significant difference in cure rate, recurrence rate and postoperative cholangitis between the two groups (P > 0.05) but the cure rate of balloon dilation treatment group was slightly higher.. Conclusion Balloon dilatation has a higher cure rate and fewer complications in the treatment of benign biliary-enteric anastomotic stenosis, and it is a safe, effective, and reliable treatment for benign biliary-enteric anastomotic stenosis.
- Benign bilioenteric strictures,
- Reoperation,
- Balloon dilation

FullText(HTML)

References(21)

References

[1]	Zhu Ji-Qiao, Li Xian-Liang, Kou Jian-Tao, et al. Bilioenteric anastomotic stricture in patients with benign and malignant tumors: prevalence, risk factors and treatment[J]. HBPD INT,2017,16(4):412-417.
[2]	张诚,杨玉龙,吴萍,等. 全覆膜自膨式可回收金属支架治疗胆肠吻合术后复发性吻合口狭窄[J].中华外科杂志,2014,52(4):306-307. doi: 10.3760/cma.j.issn.0529-5815.2014.04.017
[3]	Jang Sung Ill,Rhee Kwangwon,Kim Haewon,et al. Recanalization of refractory benign biliary stricture using magnetic compression anastomosis[J]. Endoscopy,2014,46(1):70-74.
[4]	House Michael G, Cameron John L, Schulick Richard D, et al. Incidence and outcome of biliary strictures after pancreaticoduodenectomy[J]. Ann Surg,2006,243(5):571-576.
[5]	Johnson S R, Koehler A, Pennington L K, et al. Long-term results of surgical repair of bile duct injuries following laparoscopic cholecystectomy[J]. Surgery,2000,128(4):668-677.
[6]	Moraca Robert J, Lee Faye T, Ryan John A, et al. Long-term biliary function after reconstruction of major bile duct injuries with hepaticoduodenostomy or hepaticojejunostomy[J]. Arch Surg,2002,137(8):889-893. doi: 10.1001/archsurg.137.8.889
[7]	Murr M M, Gigot J F, Nagorney D M, et al. Long-term results of biliary reconstruction after laparoscopic bile duct injuries[J]. Arch Surg,1999,134(6):604-609.
[8]	Sicklick Jason K, Camp Melissa S, Lillemoe Keith D, et al. Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: perioperative results in 200 patients[J]. Ann Surg,2005,241(5):786-792.
[9]	张诚, 杨玉龙, 史力军, 等. 胆道镜下高频电切治疗胆肠吻合术后吻合口狭窄[J].中华普通外科杂志,2015,30(7):529-531. doi: 10.3760/cma.j.issn.1007-631X.2015.07.008
[10]	Vellar I D. The blood supply of the biliary ductal system and its relevance to vasculobiliary injuries following cholecystectomy[J]. Aust N Z J Surg,1999,69(11):816-820.
[11]	苏茂生. 良性胆管狭窄及肝移植术后胆道并发症的临床研究[D]. 北京: 中国人民解放军军医进修学院（博士学位论文）, 2007.
[12]	邓世康. 胆管瘢痕差异蛋白研究及Activin B在UDCA治疗瘢痕中作用的研究[D]. 昆明: 昆明医科大学（博士学位论文）, 2015.
[13]	袁珺. 低浓度胆盐对人正常胆管成纤维细胞的生物学影响[D]. 昆明: 昆明医科大学（硕士学位论文）, 2014.
[14]	Tocchi A, Mazzoni G, Liotta G, et al. Late development of bile duct cancer in patients who had biliary-enteric drainage for benign disease: A follow-up study of more than 1,000 patients[J]. Ann Surg,2001,234(2):210-214.
[15]	窦科峰, 杨雁灵. 胆道再次手术(胆肠吻合)的指征及术式选择[J].中国实用外科杂志,2006,26(3):232-233. doi: 10.3321/j.issn:1005-2208.2006.03.033
[16]	张诚, 杨玉龙, 吴萍, 等. 持续性球囊扩张治疗胆肠吻合术后复发性吻合口狭窄[J].中国普外基础与临床杂志,2015,22(10):1251-1253. doi: 10.7507/1007-9424.20150324
[17]	华成飞, 李腾飞, 段旭华, 等. 渐进性球囊扩张联合胆道持续引流治疗胆肠吻合术后吻合口良性狭窄[J].介入放射学杂志,2017,26(4):339-343. doi: 10.3969/j.issn.1008-794X.2017.04.013
[18]	程龙, 白旭明, 顾星石, 等. 胆肠吻合口良性狭窄的切割球囊治疗[J].中华普通外科杂志,2013,28(11):833-835. doi: 10.3760/cma.j.issn.1007-631X.2013.11.006
[19]	徐佳, 冯秋实. 纤维胆道镜治疗胆肠吻合术后吻合口狭窄30例[J].中国内镜杂志,2013,19(7):714-716.
[20]	Bonnel Didier H, Fingerhut Abe L. Percutaneous transhepatic balloon dilatation of benign bilioenteric strictures: long-term results in 110 patients[J]. Am J Surg,2012,203(6):675-683. doi: 10.1016/j.amjsurg.2012.02.001
[21]	Lee Andrew Y, Gregorius John, Kerlan Robert K, et al. Percutaneous transhepatic balloon dilation of biliary-enteric anastomotic strictures after surgical repair of iatrogenic bile duct injuries[J]. PLoS ONE,2012,7(10):1-5.

Relative Articles(20)

Relative Articles

[1]	Li ZHANG, Linjia XUE, Lirong YUE, Yong CHEN, Yu DING, Huanyu ZHANG. Effect of MDT Model in the Treatment of Anterior Displacement of Irreducible Disc of Temporomandibular Joint. Journal of Kunming Medical University, 2022, 43(4): 44-49. doi: 10.12259/j.issn.2095-610X.S20220409
[2]	Fu-Jun ZHANG, Rong GONG. Significance of Dynamic Monitoring of T Lymphocyte Subsets and NK Cells in Patients with Esophageal Cancer before and after the Surgery and Chemotherapy. Journal of Kunming Medical University, 2021, 42(9): 46-50. doi: 10.12259/j.issn.2095-610X.S20210935
[3]	Lu-ping LIU, Lan-ran ZHU, Wei ZHANG, Lei-jie CHEN, Chao-ran WANG, Jing-wu LIAO. Comparison of Two Surgical Managements for the Delayed Ankles Fracture Combined with Distal Tibiofibular Syndesmosis Injuries. Journal of Kunming Medical University, 2021, 42(10): 106-111. doi: 10.12259/j.issn.2095-610X.S20211017
[4]	Qiu Jin Tao , Long Jiang , Xu Xian Xin . Surgical Treatment of Ischemic Moyamoya Disease in 22 Adult Patients. Journal of Kunming Medical University, 2017, 38(07): 69-72.
[5]	Song Shi Gang , Wu Di , Bai Ping . . Journal of Kunming Medical University, 2017, 38(02): 74-77.
[6]	Zhu Tian Bo . Clinical Application of Preoperative New Adjuvant Chemotherapy in Treatment of Cervical Cancer. Journal of Kunming Medical University,
[7]	Yuan Rui Hong . Comparison of Effects of Defferent Operation Ways in Treatment of Pigmented Nevus on Face and Neck. Journal of Kunming Medical University,
[8]	Liu Xue Feng . . Journal of Kunming Medical University,
[9]	Xu Ning . . Journal of Kunming Medical University,
[10]	Yang Ding Yong . . Journal of Kunming Medical University,
[11]	Cai Bi Bo . . Journal of Kunming Medical University,
[12]	Yang Yong Hua . . Journal of Kunming Medical University,
[13]	Li Jian Ming . . Journal of Kunming Medical University,
[14]	Gao Zhan . . Journal of Kunming Medical University,
[15]	Peng Xu Guang . . Journal of Kunming Medical University,
[16]	Hu Jia Shao . . Journal of Kunming Medical University,
[17]	Shi Cheng Min . . Journal of Kunming Medical University,
[18]	. . Journal of Kunming Medical University,
[19]	Lu Jing . . Journal of Kunming Medical University,
[20]	Wu Guang Ming . . Journal of Kunming Medical University,