Improvement of surgical treatment of intraoperative injuries of magistral bile ducts

Abstract

Results of surgical treatment of 103 patients with intraoperative magistral bile ducts injuries were observed. Roux-en-Y hepaticojejunostomy was the main operation in complete extrahepatic bile ducts (EHBD) transaction and excision; it was performed in 64 patients with following good remote results (95.3%). Restorative operation was indicated only in partial injury of the duct. Formation of bile-biliary anastomosis (BBA) in complete transaction of the duct in all cases resulted in stricture. Hepaticoduodenostomy also led to negative treatment results. Complications in the near postoperative period made 22.3% and in the remote one -35.9%. Repeated operative interventions were performed in 32.3% of patients, lethal outcome made 5.8%.

“Свіжі” Пошкодження Позапечінкових Жовчних Проток

“…С. И. Емельянов и соавт. приводят следующие данные: частота повреждения ВЖП во время традиционной холецистэктомии составила 0,06 %, при лапароскопической -0,6 % [12,23].…”