目的：评价胆管支架在手术处理医源性胆道损伤的有效性和安全性。方法：回顾性分析2020年1月至2024年6月上海瑞金医院总院或分院普外科7例因医源性胆道损伤而行手术处理的病人的临床资料，评估胆道损伤的治疗效果和并发症发生情况。结果：7例医源性胆道损伤，2例为Strasberg D型，行胆管修补术+胆管支架置入术；5例为Strasberg E1型，行胆管一期对端吻合术+胆管支架置入术。手术均获成功，术后无病人出现胆漏、黄疸、急性胆管炎、胆管结石、胆管狭窄等并发症。结论：在手术处理Strasberg D/E1型医源性胆道损伤时，应用胆管支架取代T管安全有效。

Objective To evaluate the efficacy and safety of bile duct stent in the surgical treatment of iatrogenic bile duct injury. Methods From January 2020 to June 2024 in department of general surgery of general or branch hospital of Ruijin Hospital, the clinical data of 7 cases with iatrogenic bile duct injury who underwent surgical treatment were retrospectively analyzed to evaluate the therapeutic effect and complications of bile duct injury. Results For 7 cases with iatrogenic bile duct injury, 2 of which were Strasberg D type, were performed with biliary duct repair and bile duct stenting, 5 of which were Strasberg E1 type, were performed with primary end-to-end anastomosis and bile duct stenting. All the operations were successful, and none of patients had the complications such as biliary leakage, jaundice, acute cholangitis, bile duct calculus, and bile duct stenosis. Conclusions It is safe and effective to replace T tube with bile duct stent in the surgical treatment of iatrogenic bile duct injury of Strasberg D/E1 type.