Results of surgical treatment of patients with post-traumatic cicatrical strictures of the major bile ducts and biliary-enteric anastomosis

Kurbaniyazov, Z. B.; Saidmuradov, K. B.; Rakhmanov, K. E.

doi:10.24061/1727-0847.13.4.2014.8

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2024

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“…At the same time, the frequency and severity of bile duct injuries have noticeably increased and amount to 0.2 -1.9% [2,4,7,8,9,11,14,16]. Authors dealing with this problem note that the introduction of laparoscopic cholecystectomy has led to a noticeable increase in the frequency and severity of bile duct injuries.…”

Section: Introductionmentioning

confidence: 99%

Features of Surgical Tactics for “Fresh” Damages of the Main Bily Ducts

K.E.,

A.M.

2024

ajbspi

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The results of surgical treatment of 103 patients with “fresh” IVS injuries were analyzed. The main operation for complete transection and excision of the IVS is HepEA according to Roux-en-Y, which was performed in 67 patients with good long-term results in 97.01%. The formation of the BBA with complete intersection of the duct in all cases resulted in a stricture. Restorative surgery is indicated only for partial damage to the duct. HepDA also had a negative effect on treatment outcomes. Complications in the immediate postoperative period17.5%, in the remote –33.9%. Repeated surgical interventions were performed in 32.03% of patients, mortality rate was 5.8%.

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Section: Introductionmentioning

confidence: 99%