Online ISSN 2313-1519
Print    ISSN 1812-2892
Abstract - Biliodigestive surgery of iatrogenic injuries of the extrahepatic biliary tract
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Janek Belekov, Ulukbek Djapiev, Nurdin Mamanov

The аim: to study of effectiveness of reconstructive operations at the iatrogenic injuries and strictures of extrahepatic billiary tracts.
Methods: Experience of surgical treatment of 47 patients with iatrogenic damages of extrahepatic bile ducts (latest trauma - 22 (46.8%), stricture – 25 (53.2%)) is presented. Recovery operation is made to the 1 (2.1%) patient, reconstructive interventions – 42 (89.4%), an external holangiostomy – 4 (8.5). Roux biliodigestive operations are executed at 38 (80.8%) patients.
Results: Postoperative complications are registered at 5 (10.6%) patients: failure of sutures of the bihepatikojejunoanastomosis – 1, acute adhesive intestinal obstruction – 1, stenosis of the bihepatikojejunoanastomosis – 1, suppuration of an operational wound – 2. Postoperative lethality made 2,1%.
Conclussion: Roux biliodigestive operation is the main final method of reconstructive treatment of iatrogenic damages of the extrahepatic bile ducts.

Volume 4, Number 38 (2015)