Affiliation:
1. JSC “National Scientific Center of Surgery” n.a. Syzganov A.N.
Abstract
This article provides a review of the literature on bile duct injuries after laparoscopic cholecystectomy. Laparascopy is considered the gold standard in the treatment of gallstone disease. This technique has a number of positive advantages: minimally invasiveness, quick rehabilitation, a shorter hospital stay, a good cosmetic effect, and a low lethal outcome. Along with these advantages, the number of complications also increased: damage to the bile ducts, hepatic vessels, bile leakage, formation of strictures, defects in drainage of the biliary tract and improper treatment of the cystic duct, insufficient drainage of the abdominal cavity.
Today, many aspects of surgical treatment and prevention of bile duct injuries remain controversial and are still considered relevant. The main reasons for this complication are: lack of experience of the surgeon, inattention, ignorance of the main options and possible anomalies of important anatomical structures in the area of the hepatic hilum and hepato-duodenal ligament, technical errors.
Publisher
National Scientific Center of Surgery named after A.N. Syzganov
Reference67 articles.
1. Laura M. Stinton and Eldon A. Shaffer Epidemiology of Gallbladder Disease: Cholelithiasis and Cancer Gut and Liver, Vol. 6, No. 2, April 2012, pp. 172-187 doi:10.5009/gnl.2012.6.2.172
2. Starkov Yu.G., Vyborny M.I., Dzhantukhanova S.V., Andreitseva OI, Khon E.I. Endoscopic treatment of surgical trauma of the right lobar bile duct. Experimental and clinical gastroenterology. 2018; 152 (4):107-110.
3. Borisov AE Guidelines for surgery of the liver and biliary tract. In two volumes), St. Petersburg SPb: Scythia, 2003.- 488 p.
4. Maistrenko N.A., Romashchenko P.N., Pryadko A.S., Aliev A.K. Substantiation of surgical tactics for iatrogenic injuries of the bile ducts. ISSUES OF GENERAL AND PRIVATE SURGERY “Bulletin of Surgery” 2015 UDC 616.361-089-06.616.361-001-08.
5. Nalbandyan A.G., Anishchenko V.V., Kovgan Y.M., “Methods of percutaneous transhepatic and transdrainage stenting of post-traumatic strictures of the bile ducts.” № 1 - 2015 14.00.00 medical sciences UDC 616.367-001-089.