Correct timing of bile duct injury repair

• Main Authors: WANG Jian, XU Sunwang
• Format: Article
• Language: zho
• Published: Editorial Department of Journal of Clinical Hepatology 2017-02-01
• Series: Linchuang Gandanbing Zazhi
• Online Access: http://www.lcgdbzz.org/qk_content.asp?id=7997

Surgical operation is the most important method for the treatment of iatrogenic bile duct injury, and correct selection of the timing of surgical repair is a prerequisite for successful injury repair. This article elaborates on the timing of immediate repair of bile duct injury found during surgery and the timing of delayed repair of bile duct injury found after surgery and summarizes the timing and methods for delayed repair based on the location and manifestations of injuries (such as biliary obstruction, bile leakage, and injury in the choledocho-pancreatico-duodenal junction). It is pointed out that the pathological state of injury is the critical factor for deciding surgical timing. The overall tendency of the timing of repair is early repair, and delayed repair should be performed as early as possible within 2-4 weeks after effective control of inflammation.