Email this article METHOD OF EXTRAHEPATIC BILE DUCTS RECONSTRUCTION WITH FORMATION OF AN ACCESS FOR MINIMALLY INVASIVE INTERVENTIONS
- Authors: Filizhanko V.N.1,2, Lobakov A.I.1,2, Sidorenko A.B.1,2
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Affiliations:
- Moscow Regional Research and Clinical Institute (MONIKI)
- 61/2 Shchepkina ul., Moscow, 129110, Russian Federation
- Issue: No 33 (2014)
- Pages: 77-80
- Section: ORIGINAL STUDIES
- URL: https://almclinmed.ru/jour/article/view/155
- DOI: https://doi.org/10.18786/2072-0505-2014-33-77-80
- ID: 155
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Abstract
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.
About the authors
V. N. Filizhanko
Moscow Regional Research and Clinical Institute (MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation
Email: fake@neicon.ru
MD, PhD, Assistant Professor of the Department of Surgery, Faculty of Postgraduate Medical Education, MONIKI
Russian FederationA. I. Lobakov
Moscow Regional Research and Clinical Institute (MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation
Email: fake@neicon.ru
MD, PhD, Professor, Professor of the Department of Surgery, Faculty of Postgraduate Medical Education, MONIKI
Russian FederationA. B. Sidorenko
Moscow Regional Research and Clinical Institute (MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation
Author for correspondence.
Email: sidor-alexsey@yandex.ru
junior researcher, Department of Abdominal Surgery, MONIKI Russian Federation
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