Abstract
It is presented the case report of successful antegrade X-ray surgical treatment of the patient with iatrogenic injury of hepatic ducts confluens zone during laparoscopic cholecystectomy. There are results of consistent external-internal drainage of common bile duct through the zone of subhepatic biloma, right hepatic duct stenting by covered selfexpanding stent, external drainage of left hepatic duct through the residual cavity of subhepatic biloma and extracorporeal bilio-biliary bypass. Temporary deployment of covered self-expanding metal stent into damaged area in case of full intersection of bile duct allowed to delay safely reconstructive surgery up to 6 months. Long-term result was satisfactory.
Highlights
Using of a Coated Self-Expanding Endobiliary Stent for Temporary Restoration of Biliary Tract after Iatrogenic Injury
There are results of consistent external-internal drainage of common bile duct through the zone of subhepatic biloma, right hepatic duct stenting by covered selfexpanding stent, external drainage of left hepatic duct through the residual cavity of subhepatic biloma and extracorporeal bilio-biliary bypass
Время для реконструктивной операции по неотложным показаниям уже упущено
Summary
Using of a Coated Self-Expanding Endobiliary Stent for Temporary Restoration of Biliary Tract after Iatrogenic Injury. Выявлены признаки механической желтухи с нарушением проходимости желчных протоков на уровне ворот печени (зона конфлюенса) с формированием предположительно подпеченочного скопления желчи. При антеградной холангиографии после пункции внутрипеченочных желчных протоков под контролем УЗИ выявлено отсутствие отображения зоны конфлюенса печеночных протоков и проксимальной трети общего печеночного протока.
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