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胆总管十二指肠吻合术是常用的胆肠吻合方式,曾被公认为是“无害”的手术方式。但近数年来,已有相关报道胆总管十二指肠吻合术后多年可能再发胆管癌,并认为其是继胆管炎以外最严重的并发症。本文报道了1例因肝内外胆管结石行胆总管十二指肠吻合术后42年再发胆管癌的患者,并对有关文献进行回顾与总结,并推荐对施行胆肠吻合术,尤其对于术后多次伴发胆管炎的患者,做常规随访是防止严重并发症的有效方式。
Common bile duct duodenal anastomosis is a commonly used cholangioenterostomy, has been recognized as “harmless ” surgical approach. However, in recent years, there have been reports of bile duct duodenal anastomosis after many years of possible recurrence of cholangiocarcinoma, and that it is the most serious complication after cholangitis. This paper reports a case of cholangiocarcinoma recurrence due to intrahepatic or extrahepatic bile duct stones after choledochoduodenostomy 42 years and reviews and summarizes the relevant literature. It is recommended to perform choledochojejunostomy, especially for surgery After repeated episodes of cholangitis in patients, routine follow-up is an effective way to prevent serious complications.