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Volume 10
Issue 1
Online publication date 2012-03-22
Title Improvement of surgical treatment of intraoperative injuries of magistral bile ducts
Author Zafar Kurbaniyazov, Mirshavkat Akbarov, Maqsud Nishanov, Kosim Rahmanov
Abstract The results of surgical treatment of 103 patients with intraoperative magistral bile ducts injuries have been observed. Roux-en-Y hepaticojejunostomy was the main operation in complete extrahepatic bile ducts transaction and excision; it had been 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. 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%.
Citation
References
Artemyeva, N., Kohanenko, N., 2006. “Treatment of iatrogenic injuries of bile ducts in laparoscopic cholecystectomy,” Annals of Surgical Hepatology [Annaly Hirurgicheskoy Hepatologii], in Russian, Vol.11, No.2, pp.49-56 

Beburishvily, A., Zyubina, E., Akinchits, A., Vedenin, Yu., 2009. “External bile excreting in various methods of cholecystectomy: diagnostics and treatment,” Annals of Surgical Hepatology [Annaly Hirurgicheskoy Hepatologii], in Russian, Vol.14, No.3, pp.18-21 

Bismuth. H., Majno P., 2001. “Biliary strictures: Classification based on the principles of surgical treatment,”  World J. Surg., Vol.25, No.10, pp.1241-244
Chernishov, V., Romanov, V., Suhorukov, V., 2004. “Treatment of injuries and cicatricial strictures of extrahepatic bile ducts,” Surgery [Hirurgiya], in Russian, No.11, pp.41-49

Galperin, E., 2003. “What must the surgeon do in injuries of bile ducts”, “50 lectures in surgery” [50 lekciy po hirurgii], in Russian, Moscow 
Galperin, E., Chevokin, A., 2009. “Factors, determining the operation choice in “fresh” injuries of magistral bile ducts,” Annals of Surgical Hepatology [Annaly Hirurgicheskoy Hepatologii], in Russian, Vol.14, No.1, pp.49-56 

Galperin, E., Chevokin, A., 2010. “Fresh” injuries of bile ducts,” Surgery [Hirurgiya], in Russian, No.10, pp.4-10

Maystrenko, N., Stukalov, V., Sheiko, S., 2005. “New technologies in reconstructive surgery of “fresh” injuries of bile ducts”, “Annals of surgical hepatology”, [Annaly hirurgicheskoy hepatologii], Vol.10, No.2, pp. 59

Misra, S., Melton G., Geschwind, J. et al., 2004. “Percutaneous management of bile duct strictures and injuries associated with laparoscopic cholecystectomy: A decade of experience,” J Am Coll Surg,  Vol.198(2), pp.218-26

Nazirov, F., Akbarov, M., Ikramov, A., Omonov, O., 2010. “Surgical tactics in tumours of proximal bile ducts,” Bulletin of National Medicosurgical Centre named after N.I.Pirogov” [Vestnik Natcionalnogo Mediko-Hirurgicheskogo Centra imeni N.I. Pirogova], in Russian, Vol.5, No.2, pp.33-37

Nazirov, F., Gaziev, R., 2005. “Improvement of reconstructive operations tactics in “high” cicatricial strictures of bile ducts,” Annals of Surgical Hepatology”, [Annaly Hirurgicheskoy Hepatologii],  Vol.10, No.2, pp.60-61 

Nechay, A., Novikov, K., 2006. “Iatrogenic injuries of bile ducts in cholecystectomies and resections of the stomach,” Annals of Surgical Hepatology [Annaly Hirurgicheskoy Hepatologii], in Russian, Vol.11, No.4, pp.95-100 

Schiano Di Visconte, 2002. “Analysis of pathogenetic mechanisms of common bile duct iatrogenic lession during laparoscopic cholecystectomy,’” Minerva  Chir., Vol.57(5), pp.663-67

Shapovalyants, S., Orlov, S., Budzinsky, S. et al., 2006. “Endoscopic correction of cicatricial strictures of bile ducts,” Annals of Surgical Hepatology [Annaly Hirurgicheskoy Hepatologii], in Russian, Vol.11, No.2, pp.57-64    
                          
Strasberg, S., Herd, M., Soper, N., 1995. “An analysis of the problem of biliary injury during laparoscopic cholecystectomy,” J. Am Coll. Surg., Vol.180 (1-2), pp.101-25

Timerbulatov, M., Hafizov, T., Senderovich, E., 2010. “Surgical correction of early postoperative complications of laparoscopic cholecystectomy,” Endoscopic surgery [Endoskopicheskaya hirurgiya], in Russian, No.1, pp.25-27

Way, L., Stewart, L., Gantert, W. et al., 2003. “Causes and prevention of  laparoscopic bile duct injuries,’’ Ann Surg, Vol.237, pp.461-69    

Keywords Magistral bile ducts, surgical treatment, Roux-en-Y hepaticojejunostomy
Pages 41-46
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