CLINICAL EFFECTIVENESS OF MINI-INVASIVE METHODS IN THE TREATMENT OF BILIARY PERITONITIS AFTER OPERATION FOR GALLSTONE DISEASE

Аннотация

The results of the examination and treatment of 49 patients with bile peritonitis, which developed as a result of bile leakage into the abdominal cavity after operations on the bile ducts, are presented. The frequency of postoperative bile peritonitis was 0.8% and in 57.2% of cases the cause was "small" damage (incompetence of the cystic duct stump, damaged Luschka passages, dislocation of the drainage from the hepaticocholedochus), and in 42.8% of cases intraoperative damage to the main bile duct. The use of ultrasound-guided puncture methods, transduodenal endoscopic interventions and laparoscopy made it possible to avoid relaparotomy in 93.3% of patients of the main group with postoperative bile peritonitis due to "small" injuries of the bile ducts. When detecting damage to the main bile duct in the first 48 hours. The best results are obtained with the application of high precision Roux-en-Y GEA.