Improvement of surgical treatment of intraoperative injuries of magistral bile ducts

Zafar Kurbaniyazov, Mirshavkat Akbarov, Maqsud Nishanov, Kosim Rahmanov
2012 Medical and Health Science Journal  
Results of surgical treatment of 103 patients with intraoperative magistral bile ducts injuries were observed. Roux-en-Y hepaticojejunostomy was the main operation in complete extrahepatic bile ducts (EHBD) transaction and excision; it was performed in 64 patients with following good remote results (95.3%). Restorative operation was indicated only in partial injury of the duct. Formation of bile-biliary anastomosis (BBA) in complete transaction of the duct in all cases resulted in stricture.
more » ... ed in stricture. Hepaticoduodenostomy also led to negative treatment results. Complications in the near postoperative period made 22.3% and in the remote one -35.9%. Repeated operative interventions were performed in 32.3% of patients, lethal outcome made 5.8%.
doi:10.15208/mhsj.2012.8 fatcat:cfu2v3pw7jexhhjckexqwlb2ci