經(jīng)口膽道鏡聯(lián)合經(jīng)皮膽道穿刺引流會師術治療Beger術后膽瘺1例報告

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摘要：保留十二指腸胰頭局部切除術（Beger術）術后膽管損傷發(fā)生率較高，而膽管損傷的治療方式取決于損傷嚴重程度，內(nèi)鏡治療在膽管損傷嚴重的情況下較困難。近期西湖大學附屬杭州市第一人民醫(yī)院收治1例因Beger術后出現(xiàn)膽瘺的患者，通過經(jīng)口膽道鏡聯(lián)合經(jīng)皮膽道穿刺引流會師術成功診治，取得良好效果。

關鍵詞：膽瘺；穿刺抽液術；胰膽管造影術，內(nèi)窺鏡逆行

基金項目：杭州市重點醫(yī)學學科建設基金（OO20190001）

Successful treatment of biliary fistula after Beger surgery by oral choledochoscopy-assisted percutaneous-endoscopic rendezvous technique：A case report

WANG Yuxin1，2，GU Weigang2，JIN Zheng2，ZHANG Xiaofeng1，2，3，4

1.The Fourth Clinical Medical College of Zhejiang Chinese Medical University，Hangzhou 310003，China；2.Department of Gastroenterology，Affiliated Hangzhou First People’s Hospital，Westlake University School of Medicine，Hangzhou 310058，China；3.Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province，Hangzhou 310006，China；4.Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province，Hangzhou 310058，China

Corresponding author：ZHANG Xiaofeng，19883201892@163.com（ORCID：0009-0007-1858-8905）

Abstract：Duodenum-preserving pancreatic head resection，also known as Beger surgery，has a high incidence rate of bile duct injury after surgery，while the treatment modality for bile duct injury depends on the severity of the injury，and endoscopic therapy is often challenging in case of severe bile duct injury.Recently a patient with biliary fistula after Beger surgery was admitted to Affiliated Hangzhou First People’s Hospital，Westlake University，and successful diagnosis and treatment were achieved through oralcholedochoscopy-assisted percutaneous-endoscopic rendezvous technique.

Key words：Biliary Fistula；Paracentesis；Cholangiopancreatography，Endoscopic Retrograde

Research funding：The Construction Fund of Key Medical Disciplines of Hangzhou（OO20190001）

1病例資料

患者男性，42歲，因“Beger術后1個月，皮膚、鞏膜黃染10天”于2023年11月29日就診于西湖大學附屬杭州市第一人民醫(yī)院。（剩余5836字）