[Blunt and penetrating injuries of gallbladder and extrahepatic bile ducts].
The authors observed 23 sufferers with closed and open injuries to the gallbladder and extrahepatic bile ducts. Trauma to the gallbladder was revealed in 20, that to the common bile duct--in 3, associated injuries--in 18 sufferers. In injury to the gallbladder, cholecystectomy was performed. The organ-preserving operation is justified only in presence of a small cut wound without disturbance of blood circulation of the organ. In trauma to the common bile duct, the end-to-end biliobiliary anastomosis was created over a removable transhepatic drain (RTHD), and when it's creation was unfeasible, hepaticojejunostomy over RTHD was performed.
Nikhinson
R A
RA
Chikhachev
A M
AM
Maslov
S G
SG
Aliev
A D
AD
D000714:Anastomosis, Surgical; D017734:Bile Ducts, Extrahepatic / Q000293:injuries / Q000601:surgery*; D002763:Cholecystectomy; D002767:Cholecystostomy; D003135:Common Bile Duct / Q000293:injuries* / Q000601:surgery; D004322:Drainage; D005260:Female; D005704:Gallbladder / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy; D008297:Male; D014949:Wounds, Nonpenetrating / Q000601:surgery*; D014951:Wounds, Stab / Q000601:surgery*
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