title: [Surgical treatment of injuries of the bile ducts].
abstract: The bile ducts were injured during cholecystectomy in 143 of 155 patients treated at the clinic. In most cases (78) the iatrogenic injuries occurred under conditions of a severe inflammatory and cicatricial process in the zone of the cystic neck and hepaticocholedochus. Mortality in correction of a fresh injury of the duct by the traditional methods was 11.1%. An alternative approach to improvement of the results of surgical treatment of injury to the bile ducts and its late-term sequelae may be the use of precision techniques with application of sutures of nonreactive and nonlithogenous monofilamentous suture materials.
authors.forename: K V
authors.initials: KV
authors.lastname: Lapkin
authors.forename: P I
authors.initials: PI
authors.lastname: Zima
authors.forename: V I
authors.initials: VI
authors.lastname: Maliarchuk
authors.forename: M Kh
authors.initials: MKh
authors.lastname: Shamsul
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002763:Cholecystectomy / Q000009:adverse effects*; D003135:Common Bile Duct / Q000293:injuries* / Q000601:surgery; D005260:Female; D006500:Hepatic Duct, Common / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques
vernacular_title: Khirurgicheskoe lechenie travmaticheskikh povrezhdeniĭ zhechevyvodiashchikh protokov.