Eksperimental'naia i klinicheskaia gastroenterologiia = Experimental & clinical gastroenterology · 2016
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СтатьяНазвание и аннотация: Перевод в очереди
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Tretyakov A A, Kagan I I, Neverov A N, Dronova O B, Petrov S V, Kuznetsov I R
Аннотация
AIM: To study and compare the results of reconstructive and restoretive operations for strictures and bile duct injuries in patients operated by traditional methods and with the use of microsurgical techniques.
MATERIALS AND METHODS: analysis of 181 and reconstructive restore operations reconstruction works produced on the occasion of strictures (111) and intraoperational damage (16) of the bile ducts, strictures choledocho-duodenal anastomosis and choledochocele (20), congenital cysts of the bile ducts (10), chronic indurative pancreatitis (15), the Fatherof papilla stenosis (5), syndrome Mirizzi 4 types (4). In the formation biliodigestive anastomoses traditional technique applied in 116 patients, microsurgical by 65.
RESULTS: a comparative evaluation of results of surgical treatment of patients operated on traditional way and with the use of microsurgery technique showed a reduction in the number of postoperative complications in patients undergoing microsurgical operations, such as the insolvency of the seams biliodigestive anastomosis, hepatic failure, acute cholangitis, stricture of the biliodigestive anastomosis.
CONCLUSION: to improve the results of reconstructive operations on the extrahepatic bile ducts contributes microsurgical techniks, which provides minimal trauma to the tissues, histologically accurate adaptation of homogeneous layers sew bodies, contributes healing of biliodigestive anastomosis primary tension. In the absence of conditions for the imposition of microsurgical bilitigating anastomosis without frame drainage should prima adopt changeable transhepatic drainage as in reconstructive and restorative operations.
MATERIALS AND METHODS: analysis of 181 and reconstructive restore operations reconstruction works produced on the occasion of strictures (111) and intraoperational damage (16) of the bile ducts, strictures choledocho-duodenal anastomosis and choledochocele (20), congenital cysts of the bile ducts (10), chronic indurative pancreatitis (15), the Fatherof papilla stenosis (5), syndrome Mirizzi 4 types (4). In the formation biliodigestive anastomoses traditional technique applied in 116 patients, microsurgical by 65.
RESULTS: a comparative evaluation of results of surgical treatment of patients operated on traditional way and with the use of microsurgery technique showed a reduction in the number of postoperative complications in patients undergoing microsurgical operations, such as the insolvency of the seams biliodigestive anastomosis, hepatic failure, acute cholangitis, stricture of the biliodigestive anastomosis.
CONCLUSION: to improve the results of reconstructive operations on the extrahepatic bile ducts contributes microsurgical techniks, which provides minimal trauma to the tissues, histologically accurate adaptation of homogeneous layers sew bodies, contributes healing of biliodigestive anastomosis primary tension. In the absence of conditions for the imposition of microsurgical bilitigating anastomosis without frame drainage should prima adopt changeable transhepatic drainage as in reconstructive and restorative operations.