Endoscopic treatment ofthe consequences of intraoperative trauma of the right hepatic duct complicated by persistent external biliary fistula
https://doi.org/10.16931/1995-5464.20194139-146
Abstract
A 67-yearold woman with acute cholecystitis and choledocholithiasis undergoing cholecystectomy, choledocholithotomy, choledochoduodenostomy by Yurash-Vinogradov is reported. Postoperative period was complicated by biliary peritonitis, bile accumulation under the liver and partial external biliary fistula. The patient underwent a staged x-ray endoscopic minimally invasive treatment including stenting of bile accumulation and the right hepatic duct. Treatment resulted complete recovery. Postoperative follow-up was 2 years, there were no signs of recurrent biliary obstruction. Literature review devoted to iatrogenic injury of the bile ducts and modern approaches to their minimally invasive elimination is presented.
About the Authors
S. G. Shapovaliyants
Chair of Hospital-Based Surgery No.2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy of the Pirogov Russian National Research Medical University,
Moscow City Hospital No.31 of the Moscow Healthcare Department
Russian Federation
Russian Federation
Doct. of Sci. (Med.), Professor, Head of the Chair of Hospital-Based Surgery No.2
1, Ostrovityanova str., Moscow, 117997, Russian Federation
42, Lobachevsky str., Moscow, 119415, Russian Federation
A. G. Pankov
Moscow City Hospital No.31 of the Moscow Healthcare Department
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Head of the Surgical Department No. 2
Phone: + 7-985-928-78-24
42, Lobachevsky str., Moscow, 119415, Russian Federation
S. A. Budzinskiy
Chair of Hospital-Based Surgery No.2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy of the Pirogov Russian National Research Medical University,
Moscow City Hospital No.31 of the Moscow Healthcare Department
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Senior Research Fellow of the Research Laboratory of Surgical Gastroenterology and Endoscopy; Senior Resident of the Endoscopic Department
1, Ostrovityanova str., Moscow, 117997, Russian Federation
42, Lobachevsky str., Moscow, 119415, Russian Federation
D. V. Bakhtiozina
Chair of Hospital-Based Surgery No.2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy of the Pirogov Russian National Research Medical University,
Moscow City Hospital No.31 of the Moscow Healthcare Department
Russian Federation
Russian Federation
Research Fellow of the Research Laboratory of Surgical Gastroenterology and Endoscopy, Physician of the Endoscopic Department
1, Ostrovityanova str., Moscow, 117997, Russian Federation
42, Lobachevsky str., Moscow, 119415, Russian Federation
References
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Review
For citations:
Shapovaliyants S.G., Pankov A.G., Budzinskiy S.A., Bakhtiozina D.V. Endoscopic treatment ofthe consequences of intraoperative trauma of the right hepatic duct complicated by persistent external biliary fistula. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(4):139-146. (In Russ.) https://doi.org/10.16931/1995-5464.20194139-146
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