医源性胆管狭窄:胆道外科之痛

Traumatic biliary stricture,usually iatrogenic during biliary surgeries,is still a disastrous mistake because of its serious consequences.As the rapid development of hepatic surgery and liver transplantation and widespread use of laparoscopic cholecystectomy,patterns of traumatic biliary stricture changes in result as more complicated.In the future,more will be expected from the changes of the view point that the biliary system is actually an organ rather than merely an excretory duct,and,further more,the preservation of integrity of physiological function of the biliary tract should be considered during surgical repair.A simplified classification of bile duct injuries and biliary stricture is presented for discussion.