[Surgical treatment of patients with damage and cicatricial stricture of biliary ducts].
In 109 patients 106 reconstructive and 3 restorational operations were performed for iatrogenic damage and cicatricial structure of biliary ducts. Formation of biliobiliary anastomosis is effective in the treatment of the stricture restricted in length. The preference was given for hepaticoduodenostomy performance on the changeable transhepatic drain (in 60.4% of observations) or for the elaborated in the clinic method of operation application when high stricture was present or when the broad anastomosis formation was impossible. Application of optimal algorithm for surgical tactics had permitted to lower the mortality rate for 5-year period from 8.2 to 6.8%.
Kuz'menko
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AE
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D001652:Bile Ducts / Q000293:injuries*; D002921:Cicatrix / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged