METHOD OF EXTRAHEPATIC BILE DUCTS RECONSTRUCTION WITH FORMATION OF AN ACCESS FOR MINIMALLY INVASIVE INTERVENTIONS

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.

Keywords

• iatrogenic injury of the choledochus
• stricture of the choledochus
• extrahepatic bile ducts reconstruction