Improving reconstructive operations for “fresh” injuries and scar strictures of the main bile ducts

Abstract

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.