SURGICAL TACTICS FOR IATROGENIC INJURIES TO THE BILE DUCTS
Keywords:
bile duct injury, surgical treatment, resultsAbstract
Damage to the main bile ducts (MBD) after cholecystectomy was detected in 41 (48.2%) patients. Of these, in 20 (48.9%), MBD damage was detected during surgery and in 21 (51.2%) in the early postoperative period. In case of intraoperative intersection and excision of the GC, the operation of choice is high Roux-en-Y GEA using precision technique. Reconstructive operations are indicated in case of marginal damage to the GC; the application of BBA and GDA is not recommended due to the high risk of developing anastomotic strictures. Correction of bile duct damage when detected intraoperatively is accompanied by a significantly lower number of complications in the immediate (10%) and remote (25%) periods of treatment than when detected in the postoperative period (38.1% and 41.2%, respectively, with a mortality rate of 14.3%).
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