Predicting the risk of failure of biliodigestive anasтomosіs based on building of integrated spectrophotometer model of choledochitis wall
DOI:
https://doi.org/10.11603/2414-4533.2016.3.6790Abstract
In scientific work the analysis of surgical treatment of 156 patients who underwent method of surgical correction by creation of bloghosting anastomosis in conditions of acute cholangitis. Acute cholangitis occurred as a complication of benign nosological forms of obstructive jaundice. Attention was given to the occurrence of an insolven cycreated by biliodigestive anastomosis in the postoperative period. It was found that chronic inflammation of the wall of the common bile duct leads to irreversible quantitative and qualitative changes of the hinge structure of the collagen fibers. The degree of morphofunctional changes of collagen fibers in the wall of the common bile duct is correlated with the risk of insolvency biliodigestive anastomosis. Intraoperative diagnosis gloating changes of collagen fibers occurred by using polarizing optical microscopy, which is recognised as an Express method for the assessment of the changes with subsequent model building of the wall of the common bile duct and performing further correction surgery depending on the results of the complex investigations.
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