METHOD OF EXTRAHEPATIC BILE DUCTS RECONSTRUCTION WITH FORMATION OF AN ACCESS FOR MINIMALLY INVASIVE INTERVENTIONS
| Autor: | V. N. Filizhanko, A. I. Lobakov, A. B. Sidorenko |
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| Jazyk: | ruština |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Alʹmanah Kliničeskoj Mediciny, Vol 0, Iss 33, Pp 77-80 (2016) |
| Druh dokumentu: | article |
| ISSN: | 2072-0505 2587-9294 |
| DOI: | 10.18786/2072-0505-2014-33-77-80 |
| Popis: | Background: Methods of repair for iatrogenic extrahepatic bile ducts injuries are still under discussion. Aim: To improve surgical outcomes in patients with diseases and iatrogenic injuries of extrahepatic bile ducts. Materials and methods: The new surgical method for treatment of the diseases and traumatic injuries of extrahepatic bile ducts improves immediate and long-term outcomes in patients with iatrogenic injuries and diseases of bile ducts. The method provides a direct endoscopic access allowing for minimally invasive biliodigestive anastomosis interventions (balloon dilation, endoprothesis positioning and change, etc.) under direct vision. Results: The new method is associated with less surgical trauma, reduced intra-/postoperative complications, better quality of life and no impact on patients’ life-style. Conclusion: In our study, endoscopic repair of biliodigestive anastomoses through persistent gastroenteroanastomosis was a simple, available and safe method. The procedure may be performed by surgeon-endoscopist under local anesthesia. If needed, multiple procedures are possible. |
| Databáze: | Directory of Open Access Journals |
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