EXTERNAL AND INTRA-ABDOMINAL BILE LEAKAGE AFTER CHOLECYSTECTOMY (REASONS AND IMPROVEMENT OF SURGICAL TACTICS)

Аннотация

This study analyses the results of surgical treatment of 3266 patients with various forms of cholelithiasis. Biliary leakage and biliary peritonitis in the postoperative period were observed in 34 patients due to "minor" damages (aberrant hepatic and urinary ducts of the gallbladder bed - Luschka's passage, leaky stump of the gallbladder duct, drainage falling out of the choledoch). Improved surgical tactics based on ultrasound and RCCG data facilitated improvement of treatment results and avoiding relaparotomy in 94,2% of cases with bile leakage with "minor" bile duct injuries.