Surgical Treatment of Biliobiliary and Biliodigestive Fistulas
https://doi.org/10.16931/1995-5464.2016392-100
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Abstract
Aim. The study the results of surgical treatment of internal biliary fistulas.
Material and Methods. During the period from 2000 till 2015 fifty nine patients with internal biliary fistulas were examined including 36 cases of Mirizzi syndrome and 23 patients with biliodigestive fistulas.
Results. Mirizzi syndrome type I and type II were observed in 22 and 12 patients respectively. Laparoscopic cholecystectomy was performed in 9 cases (for type I), hepaticojejunostomy with Roux intestinal loop – in 25 cases, choledochoduodenostomy – in 4 cases. In 23 patients with biliodigestive fistulas predominant surgery was the elimination of fistula with hollow organ repair, biliodigestive anastomosis – in 6 cases. 3 patients did not require operation due to
spontaneous recanalization of the fistula.
Conclusion. Mirizzi syndrome and biliodigestive fistulas are rare and complex pathology with difficult early diagnosis. Surgical tactics should be generally limited by reconstructive surgery.
About the Authors
A. V. Vorobey
Belarussian Medical Academy of Postgraduate Education; Republican Centre of Reconstructive Surgical Gastroenterology and Coloproctology
Russian Federation
Doct. of Med. Sci., Professor, Сorrecponding-member; Head of Surgical Department, Director of Republican Centre of Reconstructive Surgical Gastroenterology and Coloproctology
Yu. N. Orlovsky
Belarussian Medical Academy of Postgraduate Education; Republican Centre of Reconstructive Surgical Gastroenterology and Coloproctology
Russian Federation
Cand. of Med. Sci., Associate Professor, Surgical Department
E. I. Vizhinis
Belarussian Medical Academy of Postgraduate Education; Republican Centre of Reconstructive Surgical Gastroenterology and Coloproctology
Russian Federation
Cand. of Med. Sci., Associate Professor, Surgical Department
A. Ch. Shuleyko
Belarussian Medical Academy of Postgraduate Education; Republican Centre of Reconstructive Surgical Gastroenterology and Coloproctology
Russian Federation
Cand. of Med. Sci., Associate Professor, Surgical Department
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For citations:
Vorobey A.V.,
Orlovsky Yu.N.,
Vizhinis E.I.,
Shuleyko A.Ch.
Surgical Treatment of Biliobiliary and Biliodigestive Fistulas. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(3):92-100.
(In Russ.)
https://doi.org/10.16931/1995-5464.2016392-100
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