[Treatment of injuries and scar strictures of extrahepatic bile ducts].
Results of treatment of 118 patients with trauma of bile ducts during cholecystectomy are analyzed. Rate of this complication ranges from 0.25 to 0.68%. Reconstructive surgeries on bile ducts were performed in 111 of 118 patients. Non-drainage variant of reconstruction of bile ducts was used only in 18 patients. Hepaticojejunostomy on removable transhepatic drainage was performed in the majority of cases. It is demonstrated that reconstructive surgeries on bile ducts must be performed early after trauma, just after arrest of bile peritonitis and other purulent complications. The best long-term results were achieved in patients who underwent reconstruction of bile ducts just after diagnosis of their iatrogenic injury on operation table. Postoperative lethality was 8.5%. Good long-term results were achieved in 81.4% patients. Repeated surgeries due to recurrences of bile ducts strictures were performed in 11.9% patients with good short-term results.
Chernyshev
V N
VN
Romanov
E V
EV
Sukhorukov
V V
VV
D000328:Adult; D017734:Bile Ducts, Extrahepatic / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002779:Cholestasis / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D002921:Cicatrix / Q000150:complications*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male