Biliodigestive surgery of iatrogenic injuries of the extrahepatic biliary tract

Билиодигестивная хирургия ятрогенных повреждений внепеченочных желчных путей
Janek Belekov 1, Ulukbek Djapiev 2, Nurdin Mamanov 3
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1 Osh Interregional oncological center, Administration, Osh, Kyrgyz Republic
2 Osh Interregional united clinical hospital, Department of surgery, Osh, Kyrgyz Republic
3 Medical clinic “URFA-Clinic”, Department of surgery, Bishkek, Kyrgyz Republic
J CLIN MED KAZ, Volume 4, Issue 38, pp. 37-41.
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ABSTRACT

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%.
Conclusion: Roux biliodigestive operation is the main final method of reconstructive treatment of iatrogenic damages of the extrahepatic bile ducts.
Keywords: iatrogenic injury, stricture, extrahepatic bile ducts, reconstructive surgery

CITATION

Belekov J, Djapiev U, Mamanov N. Biliodigestive surgery of iatrogenic injuries of the extrahepatic biliary tract. Journal of Clinical Medicine of Kazakhstan. 2015;4(38):37-41.

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