Outcome of reconstructive surgeries with application of minimally invasive technique for correction of iatrogenic damage to the extra hepatic biliary tracts.

Abstract

The article provides statistics on the volume of surgical interventions on the extrahepatic bile ducts, the number of iatrogenic cicatricial strictures after traditional and laparoscopic cholecystectomies. The authors also provide figures of complications and mortality after various reconstructive and reconstructive interventions for iatrogenic strictures of the extrahepatic bile ducts. The article highlights the causes of hepatic choledochus strictures. Particular attention is paid to the increase in these complications after laparoscopic cholecystectomy. The article describes the classification of the level of cicatricial stricture of hepaticoholedoch according to E.I. Halperin and N.F. Kuzovlev, which is most convenient for practical application. The results of various reconstructive and reconstructive operations with iatrogenic strictures of hepaticoholedoch are critically evaluated and the importance of new, modern minimally invasive methods is emphasized. It is also emphasized that, despite the introduction of high-tech minimally invasive methods of diagnosis and treatment in surgical hepatology, and the progress in reconstructive surgery of the biliary tract, only the evaluation of the long-term results of treatment in this category of patients can give an objective assessment of the correctness of the chosen direction.