FEATURES OF SURGICAL TACTICS FOR “FRESH” DAMAGES OF THE MAIN BILY DUCTS

Аннотация

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%. KEYWORDS Bile ducts, iatrogenic damage, restorative and reconstructive operations.