CAUSAL MECHANISMS AND MEASURES TO PREVENT EARLY COMPLICATIONS OF THE BILIARY TRACT AFTER CHOLECYSTECTOMY
Abstract
The paper presents the results of treatment of 64 patients with early biliary complications after cholecystectomy in the SamMU clinic for the period from 2015 to 2024. The study analyzes the causes and sources of bile leakage, the mechanisms of complications, as well as methods of their diagnosis and prevention. The most common causes of complications were anomalies of the biliary tract, acute cholecystitis, Mirizzi syndrome and technical errors during operations. The main method for diagnosing early biliary complications is endoscopic retrograde cholangiopancreatography. The developed methods of prevention and diagnostic examination can significantly reduce the number of early complications.
References
16. Arkossy P, Toth P, Kovacs I, Sapy P. New reconstructive surgery of remnant pancreas in cases of cancer of Vater's papilla. Hepatogastroenterology. 2002 Jan-Feb;49(43)P.255-7.
17. Bergman J.J.G.H.M., van den Brink G.R., Rauws E.A.J, el al. Treatment of bile duct lesions after laparoscopic cholecystectomy //Gut. 1996. V. 38. P. 141-147.
18. Bismuth H., Majno P.E. Biliary strictures: classification based on
the principles of surgical treatment // Wrld J. Surg. 2001. V. 25.
N 10. P. 1241-1244.
19. Bismuth Н. Lazarlhes Г. Le traumatismes operatoires de la voie billiare principal // J.Chir. 1981. V. 118. P. 601-693.
20. Christoforidis E. A single center experience in minimally invasive treatment of postcholecystectomy bile leak, complicated with bilomaformation//J. Surg. Res. 2007. V. 141. N 2. P. 171.
21. Cieslicki J, Drews M, Marciniak R, et. al. Reconstructive surgery of bile ducts from personal material Wiad Lek. 1997;50 Suppl 1 Pt 2:323P.5
22. Davidoff F.F., Papas T.N., Murray A.E. el al. Mechanisms of major biliary injury during laparoscopic cholecystectomy //Ann. Surg. 1992. V. 215. P. 196-202.
23. Deredjian H, Kolarov E, Georgiev I. An instrument for reconstruction and plastic surgery of the terminal choledochus. Khirurgiia (Sofiia). 1998; 52(5)P:60-2.
24. Dmitrova V, Bulanov D, Bonev S. A modified variant biliary passage restoration in iatrogenic lesions. Khirurgiia (Sofiia). 1998;53(6):P.50-1.
25. Fudaba Y. Tashiro FL Ohdan H, et al. Stable technique for reconstruction of hepatic artery in hamster-to-rat liver transplantation. Transplant. Proc. 2000 Nov;32(7):P.2341-2.
26. Gazzaniga G.M., Filauro M., Mori L. Surgical treatment of jatrogenic lesion // Wrld J. Surg. 2001. V. 25. N 10. P. 1254-1259.
27. Hashimoto N, Ohyanagi H. Hepatobiliary scintigraphy after biliary reconstruction - a comparative study on Roux-Y and ESCD. Hepatogastroenterology. 2000 Sep-Oct;47(35):P.1210
28. Horvath K.D. Strategies for the prevention of laparoscopic common bile duct injuries. Surg Endosc. 1993. N7. P. 439-444.
29. Hosch SB. Zornig С Izbicki JR, et. al.Surgical correction of bile duct injuries after laparoscopic cholecystectomy Zentralbl Chir. 1996; 121(4).290-3.
30. Hossain MA, Hamamoto I, Wakabayashi H, et. al. Long-term follow up of heterotopic liver allograft survival with or without hepatic arterial reconstruction. Transplant Proc. 2000 Nov; 32(7):254-7.




















