[Surgical treatment of injuries and cicatricial strictures of the bile ducts using changeable transhepatic drainage].
Results of 62 reconstructive and restorative operations performed on 47 patients with scarry strictures and injuries of main bile ducts are analyzed. A group of 17 patients was chosen, a spare transhepatic drain being used in 18 operations. It was established that bougieurage, dilatation of the strictures and a continuous frame drainage with the stricture of hepaticocholedochus as long as 20 mm or recurrent strictures of hepaticojejunoanastomosis provided stabilization of scarring and epithelization of the stricture zone. A favorable result of the treatment is determined by the duration of the frame drainage not less than for 2 years.
Postrelov
N A
NA
Kiselev
A I
AI
Kiakkinen
A I
AI
Vasiliev
P N
PN
Zus'
B A
BA
D000293:Adolescent; D000328:Adult; D000368:Aged; D001651:Cholestasis, Extrahepatic / Q000209:etiology / Q000601:surgery*; D002921:Cicatrix / Q000150:complications; D003135:Common Bile Duct / Q000293:injuries / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000209:etiology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D004322:Drainage / Q000379:methods*; D005260:Female; D006500:Hepatic Duct, Common / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged
Khirurgicheskoe lechenie povrezhdeniĭ i rubtsovykh striktur zhelchnykh protokov s ispol'zovaniem smennogo transpechenochnogo drenazha.