Особенности хирургического лечения интраоперационных повреждений желчных протоков

Аннотация

The results of surgical treatment of 131 patients with intraoperative bile ducts injuries have been analysed. The main operation in complete extrahepatic bile ducts transaction and excision is HepJA according to Roux that had been performed in 64 patients with a good follow – up result making 95,3%. Restorative operation is only indicated in partial injury of the duct. BBA formation in complete transaction of the duct in all cases resulted in stricture. HepDA also produced negative results of treatment. Complications in the near – by postoperative period made 20,3% and in the follow – up period 36,4%. Repeated operative interventions were performed in 33,9% of patients, lethal outcome made 5,8%.