保留十二指肠胰头局部切除术（Beger术）术后胆管损伤发生率较高，而胆管损伤的治疗方式取决于损伤严重程度，内镜治疗在胆管损伤严重的情况下较困难。近期西湖大学附属杭州市第一人民医院收治1例因Beger术后出现胆瘘的患者，通过经口胆道镜联合经皮胆道穿刺引流会师术成功诊治，取得良好效果。

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 oral choledochoscopy-assisted percutaneous-endoscopic rendezvous technique.