[Causes, diagnosis and surgical treatment of strictures of lobar and segmental hepatic ducts].
Causes of strictures of lobar and segmental ducts after their injuries during open and laparoscopic cholecystectomy in 53 patients were analyzed. For correction of bile outflow precision non-wireframe (n=22) and wireframe (n=20) anastomoses were used. In 10 patients a combined anastomosis was established. In 1 patient the external drainage of hepatic ducts was performed. After surgery 3 patients died. 1-15 year long-term results were studied in 48 (96%) patients. Good results were achieved in 29 (60.5%), satisfactory -- in 13 (27%) patients. Recurrences of the strictures were diagnosed in 6 patients. It is concluded that dynamic control is necessary in patients operated on for bile ducts injuries. Underestimation of remittent cholangitis leading to biliary cirrhosis worsens prognosis of the disease.
Gal'perin
E I
EI
Diuzheva
T G
TG
Chevokin
A Iu
AIu
Garmaev
B G
BG
D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D003251:Constriction, Pathologic / Q000209:etiology / Q000473:pathology / Q000601:surgery; D005260:Female; D006500:Hepatic Duct, Common / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000379:methods*