CHOICE OF A METHOD OF CORRECTION OF CICATRICIAL LESIONS OF EXTRAHEPATIC BILE DUCTS AND BILIODIGISTIVE ANASTOMOSES

Abstract

From 1990 to 2015 171 reconstructive and reconstructive surgery on extrahepatic bile ducts after their injuries and inflammatory lesions were performed in the clinic, of which 115 (67.2 %) using nickel-titanium stents. The average age of patients was 48.6 years. Complications after operations of constant stenting arose in 6 patients (8.3 %), lethal outcome in 2 (2.7 %). Long-term results of this group, traced from one year to seven years, were found to be good at 88.4 % at the time of the study, satisfactory - at 8.4 %, unsatisfactory - in 3.2 % of patients. In the group of patients, after application of replaceable transhepatic drainage and a precision seam of the ducts: good - in 58.5 %, satisfactory - in 22.0 %, unsatisfactory - in 19.5 %. Long-term results after endobiliary stenting with nitinol stents with round stent filaments were considered good In 41.8 %, satisfactory in 58.2 % of patients.