摘要：目的：探讨Roux-y术式在胆道再次手术应用的适应症、效果以及术中应注意问题。方法：回顾性分析21例胆道再次手术时应用Roux-y术式以及随后追踪2～5年的临床资料，结合文献总结探讨Roux-y术式在胆道再次手术中应用的实际效果。结果：21例再次手术病人由于Roux-y术式的良好内引流作用而恢复顺利。术后2～5年追踪20例病人避免再次手术，3例有胆道疾患发作。结论：Roux-y术式是胆总管结石、梗阻、感染再次手术的最佳术式。

     关键词：胆石症；Roux-y术式；再次手术

    The Application Of Roux-y Modus Operandi in Bile Duct Reoperation

    LIN De-ping

    (The Central Hospital of Shantou City, Guangdong Shantou 515031, China)

    Abstract： Objective: To investigate the indications, effect and announcements of Roux-y anastomosis as reoperation after first biliary tract operations. Method: 21 cases of patients who received Roux-y cholecystoenterostomy after first biliary tract operations were reviewed including clinical data of 2～5 years follow-up. Combined with articles reviewed, the actual value of Roux-en-y cholecystoenterostomy as reoperation is studied. Result: Because of the favourable effect of internal drainage, 21 patients who received Roux-y cholecystoenterostomy recovered smoothly. 2～5 years follow-up shows that 20 of them avoid receiving reoperations. Just 3 cases biliary tract diseases recurred. Conclusion: Roux-y anastomosis is the best modus operandi for reoperation of common bile duct cholelithiasis, obstruction and infectation. ......