Improving reconstructive operations for “fresh” injuries and scar strictures of the main bile ducts
DOI:
https://doi.org/10.11603/2414-4533.2023.4.14346Keywords:
hepaticocholedochus, biliobiliary anastomosis, cicatricial strictureAbstract
The aim of the work: prevention of hepaticocholedochal stricture in the long-term postoperative period after reconstructive surgery.
Materials and Methods. The study is based on data from a clinical examination of 41 patients with injuries to the main bile ducts, who were operated on in the surgical department of the multidisciplinary clinic of Samarkand State Medical University for the period from 2010 to 2022. Depending on the choice of treatment tactics, the patients were divided into two groups. The first group, the comparison group, consisted of 18 (43.9 %) patients who underwent biliobiliary anastomosis in the traditional way. The second group, the main group, consisted of 23 (56.1%) patients who underwent reconstructive surgery using our improved method.
Results and Discussion. Of the 18 patients in the comparison group, 13 (72.2 %) had a cicatricial stricture of the hepaticocholedochus in the long-term postoperative period after 1–3 years, requiring repeated operations. Of these, 9 patients underwent reconstructive hepaticojejuno- and hepaticoduodenoanastomosis, 4 patients underwent X-ray endobiliary interventions with the installation of a stent into the lumen of the hepaticocholedochus.
References
Shukurullaevich, A.D., Arzikulovich, Y.P., Erdanovich, R.K., & Sulaimanovich, D.S. (2021). Analysis of surgical treatment options for different types of mirizzi syndrome. Bulletin of Science and Education, (5-1 (108)), 71-76.
Alievich, A.I., Babazhanovich, K.Z., Karamatovich, S.F., Bahramovich, B.M., & Norzhigitovich, N.Z. (2022). Optimization of surgical tactics for postoperative bile effluvium and biliary peritonitis after cholecystectomy. Texas Journal of Multidisciplinary Studies, 6, 235-238.
Babajanovich, K.Z., & Amirovich, M.B. (2023). Magistral O'T YO'LLARI yatrogen jarohatlanishlari xirurgiyasi: klinikasi, diagnostikasi va xirurgik davolash (adabiyotlar sharhi). Journal of Biomedicine and Practice, 8(1).
Babazhanovich, K.Z., Erdanovich, R.K., Norzhigitovich, N.Z., & Shukurillaevich, A.D. (2022). Features of surgical management in acute cholecystitis in patients of elderly and old age complicated by bile ducts. Periodica Journal of Modern Philosophy, Social Sciences and Humanities, 3, 4-11.
Cheng, Z., Huang, X., & Dong, J. (2015). A promising method for repairing low-level biliary strictures after cholecystectomy. International Surgery, 100(6), 1072-1077. DOI: https://doi.org/10.9738/INTSURG-D-14-00260.1
Davlatov, S.S., Kasymov, S.Z., Kurbaniyazov, Z.B., & Azimov, R.R. (2013). A New method of detoxification plasma by plasmapheresis in the treatment of endotoxemia with purulent cholangitis. Academic journal of Western Siberia, 9(2), 19-20.
Davlatov, S., Rakhmanov, K., Qurbonov, N., Vafayeva, I., & Abduraxmanov, D. (2020). Current State of the Problem Treatment of Mirizzi Syndrome (Literature Review). International Journal of Pharmaceutical Research (09752366).
Ivanovich, D.G., Gennadievich, D.I., Igorevich, B.S., Vaziri, K.E., & Vladislavovich, S.S. (2023). Invagination of transformed confluence cysts of lobar ducts into the common hepatic duct. Journal of Surgery, 11(4), 81-86.
Mardanov, B., Kurbaniyazov, Z., Davlatov, S., & Rakhmanov, K. (2020). Rationale for simultaneous operations on the abdominal organs and the abdominal wall in patients with a ventral hernia. International Journal of Pharmaceutical Research 12, 1922-1930. DOI: https://doi.org/10.31838/ijpr/2020.SP2.339
Qurbonov, N., Salim, S.D., Rakhmanov, K.E., & Zayniyev, A.F. (2021). Current trends in the management of Mirizzi syndrome: A review of literature. Annals of the Romanian Society for Cell Biology, 1927-1932.
Saydullaev, Z.Y., Davlatov, S.S., Murtazaev, Z.I., & Rakhmanov, K.E. (2021). Minimally invasive methods of treatment of patients with acute cholecystitis. Annals of the Romanian Society for Cell Biology, 1956-1961.
Turakulov, U.N., Akbarov, M.M., Saatov, R., & Matkarimov, S.U. (2021). Immediate and long-term results and prospects of reconstructive and restorative surgery of the liver and extra hepatic biliary tracts. ACADEMICIA: An International Multidisciplinary Research Journal, 11(12), 828-833. DOI: https://doi.org/10.5958/2249-7137.2021.02737.3
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Б. А. МАРДОНОВ, З. Б. КУРБАНІЯЗОВ, С. С. ДАВЛАТОВ, К. Е. РАХМАНОВ
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
