دورية أكاديمية
[Combined injury of biliary ducts and vessels during cholecystectomy: peculiarities of clinical course and surgical tactics].
| العنوان: | [Combined injury of biliary ducts and vessels during cholecystectomy: peculiarities of clinical course and surgical tactics]. |
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| المؤلفون: | Nichitaĭlo ME, Skums AV, Shkarban VP, Litvin AI, Shevchuk BL, Skums AA |
| المصدر: | Klinichna khirurhiia [Klin Khir] 2011 Jun (6), pp. 7-11. |
| نوع المنشور: | English Abstract; Journal Article |
| اللغة: | Russian |
| بيانات الدورية: | Publisher: Ministerstvo Okhorony Zdorovia Ukrainy Country of Publication: Ukraine NLM ID: 9516872 Publication Model: Print Cited Medium: Print ISSN: 0023-2130 (Print) Linking ISSN: 00232130 NLM ISO Abbreviation: Klin Khir Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Kyiv : Ministerstvo Okhorony Zdorovia Ukrainy Original Publication: Kyïv : [s.n.], c1995- |
| مواضيع طبية MeSH: | Bile Ducts/*injuries , Cholecystectomy/*adverse effects , Hepatic Artery/*injuries , Multiple Trauma/*surgery, Adult ; Aged ; Bile Ducts/surgery ; Cholecystectomy, Laparoscopic/adverse effects ; Female ; Hepatectomy/methods ; Hepatic Artery/surgery ; Humans ; Jejunostomy/methods ; Liver Circulation ; Male ; Middle Aged ; Multiple Trauma/diagnosis ; Multiple Trauma/etiology ; Multiple Trauma/mortality ; Treatment Outcome |
| مستخلص: | The results of treatment of 56 patients, in whom in 1984-2010 yrs, while performing cholecystectomy, a biliary duct injury have occurred, were analyzed, including 26 (main group)--with combined injury of biliary ducts and brunches of common hepatic artery, 30 (control group)--with isolated complete biliary ducts. High hepaticojejunostomy have constituted the main method of operation in a control group. In the main group in 2 patients there were attempts made to restore the arterial blood flow with subsequent performance of reconstructive intervention on biliary ducts. In 16 (61.5%) patients, due to adequate collateral blood supply presence, the bile outflow was restored using hepaticojejunostomy formation, and in 8 (30.8%)--hepatic resection of various volume was needed, because of hepatic abscesses formation. The results of treatment of patients in these groups have differed not essentially, while applying differentiated approach (positive results were achieved in 93.3 and 84.6% of patients, accordingly). So, in patients with combined injury of biliary ducts and branches of hepatic artery, while performance of cholecystectomy, it is necessary to apply multimodal tactics of treatment, taking into account the peculiarities of clinical course. |
| تواريخ الأحداث: | Date Created: 20110818 Date Completed: 20110923 Latest Revision: 20161018 |
| رمز التحديث: | 20231215 |
| PMID: | 21846025 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0023-2130 |
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