PERCUTANEUD TRANSHEPATIC AND TRANSDRAINAGE METHODS OF CORRECTION POST-TRAUMATIC BILE DUCTSTRICTURES | Issues of reconstructive and plastic surgery. 2014. № 4 (51).

PERCUTANEUD TRANSHEPATIC AND TRANSDRAINAGE METHODS OF CORRECTION POST-TRAUMATIC BILE DUCTSTRICTURES

The work presents the results of surgical treatment of benign post-traumatic iatrogenic strictures of bile duct in 43 patients. Mesh stenting was performed percutaneously-transhepatic under constant X-ray control or through a previously established swap transhepatic drainage. Due to the fact that the majority of patients were classified as critically ill patients: the repeated previously undergone surgery 76.7% and high strictures of 53,3% (III-V type for Bismuth), considered that the use of traditional methods is associated with a large percentage of stricture recurrence. In patients with obstructive jaundice using a two-step tactics. In the first stage set decompression hepatostomy. After correctionhealth status metal stents implanted in the area of biliodigestiveanastomosis, right and (or) the left hepatic duct. Seven-year experience of antegradeendobiliarystenting indicates that the method is highly promising in the treatment of benign bile duct strictures.

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Keywords

biliodigestive anastomosis, metal stent, benign strictures, jaundice, билиодигестивный анастомоз, металлический стент, механическая желтуха, доброкачественные стриктуры

Authors

Name	Organization	E-mail
Anischenko V. V.		AVV1110@yandex.ru
Nalbandyan A. G.
Kovgan Yu. M.

Всего: 3

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