Combined Miniinvasive Treatment of Cholangiolithiasis in Hepaticojejunostomy Strictures
https://doi.org/10.16931/1995-5464.2017453-60
Abstract
Aim. To improve the results of treatment of patients with intrahepatic cholangiolithiasis for hepaticojejunostomy stricture by using of minimally invasive methods.
Material and Methods. For the period from 2002 till 2016 fifty-eight patients with hepaticojejunostomy strictures have been treated. 13 of them had coexisting intrahepatic cholangiolithiasis. 46 (79.3%) patients underwent redo hepaticojejunostomy. Minimally invasive interventions were applied in 12 patients: laser recanalisation with double balloon enteroscopy (7) and lithoextraction with double balloon enteroscopy(1), transhepatic cholangioscopy (2) including laser lithotripsy in 1 case. Also, there were balloon dilatation of redo hepaticojejunostomosis stricture (4), lithoextraction (4) including with double balloon enteroscopy (“randevoux” procedure) (1), stenting (2).
Results. We observed several complications such as cholangitis (5); recurrent cholangiolithiasis (1); recurrent stricture of hepaticojejunostomy (2).
Conclusion. Minimally invasive management of cholangiolithiasis in hepaticojejunostomy strictures have shown good results.
About the Authors
A. V. Vorobey
Belarusian Medical Academy of Postgraduate Education
Belarus
Belarus
Vorobey Aleksandr Vladimirovich – Doct. of Med. Sci., Professor, Head of Surgical Department, Belarusian Medical Academy of Postgraduate Education.
3/3, Brovki str., Minsk, 220013, BelarusYu. N. Orlovsky
Belarusian Medical Academy of Postgraduate Education
Belarus
Belarus
Orlovsky Yury Nikolaevich – Cand. of Med. Sci., Associate Professor of Surgical Department, Belarusian Medical Academy of Postgraduate Education.
3/3, Brovki str., Minsk, 220013, BelarusN. A. Lagodich
Minsk Regional Clinical Hospital
Belarus
Belarus
Lagodich Natalia Anatolievna – Endoscopist at the Endoscopy Department, Minsk Regional Clinical Hospital.
Lesnoe, Minsk Region, 223041, BelarusV. F. Orekhov
Aleksandrov Republican Centre of Oncology and Medical Radiology
Belarus
Belarus
Orekhov Vitaly Fomich – Endovascular Surgeon at the Aleksandrov Republican Centre of Oncology and Medical Radiology.
Lesnoe, Minsk Region, 223040, BelarusReferences
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For citations:
Vorobey A.V., Orlovsky Yu.N., Lagodich N.A., Orekhov V.F. Combined Miniinvasive Treatment of Cholangiolithiasis in Hepaticojejunostomy Strictures. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017;22(4):53-60. (In Russ.) https://doi.org/10.16931/1995-5464.2017453-60
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