USING OF A COATED SELF-EXPANDING ENDOBILIARY STENT FOR TEMPORARY RESTORATION OF BILIARY TRACT AFTER IATROGENIC INJURY
https://doi.org/10.16931/1995-5464.2017387-92
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.
About the Authors
O. I. Okhotnikov
Kursk Regional Clinical Hospital, Department of X-ray Surgical Department.
Russian Federation
Russian Federation
Okhotnikov Oleg Ivanovich – Doct. of Med. Sci., Professor, Head of X-ray Surgical Department №2, Kursk Regional Clinical Hospital.
For correspondence: Apt. 75, 26a, Olshanskiy str., Kursk, 305047, Russian Federation. Phone: +7-910-740-20-92. Е-mail: OLEG_OKHOTNIKOV@ MAIL.RU
M. V. Yakovleva
Kursk Regional Clinical Hospital, Department of X-ray Surgical Department; Chair of Surgical Diseases of Faculty of Post-Qualifying Education of Kursk State Medical University, Health Ministry of the Russian Federation.
Russian Federation
Yakovleva Marina Valer’yevna – Cand. of Med. Sci., Associate Professor of the Chair of Surgical Diseases of Faculty of PostQualifying Education, Kursk State Medical University; Surgeon of X-ray Surgical Department №2, Kursk Regional Clinical Hospital.
Russian Federation
Yakovleva Marina Valer’yevna – Cand. of Med. Sci., Associate Professor of the Chair of Surgical Diseases of Faculty of PostQualifying Education, Kursk State Medical University; Surgeon of X-ray Surgical Department №2, Kursk Regional Clinical Hospital.
O. S. Gorbacheva
Kursk Regional Clinical Hospital, Department of X-ray Surgical Department; Chair of Surgical Diseases of Faculty of Post-Qualifying Education of Kursk State Medical University, Health Ministry of the Russian Federation.
Russian Federation
Gorbacheva Olga Sergeevna – Cand. of Med. Sci., Head of Abdominal Surgery Department, Kursk Regional Clinical Hospital, Assistant of the Chair of Surgical Diseases, Faculty of Post-Qualifying Education, Kursk State Medical University.
Russian Federation
Gorbacheva Olga Sergeevna – Cand. of Med. Sci., Head of Abdominal Surgery Department, Kursk Regional Clinical Hospital, Assistant of the Chair of Surgical Diseases, Faculty of Post-Qualifying Education, Kursk State Medical University.
V. I. Pakhomov
Kursk Regional Clinical Hospital, Department of X-ray Surgical Department.
Russian Federation
Pakhomov Vadim Igorevich – Surgeon of X-ray Surgical Department №2, Kursk Regional Clinical Hospital.
Russian Federation
Pakhomov Vadim Igorevich – Surgeon of X-ray Surgical Department №2, Kursk Regional Clinical Hospital.
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Review
For citations:
Okhotnikov O.I., Yakovleva M.V., Gorbacheva O.S., Pakhomov V.I. USING OF A COATED SELF-EXPANDING ENDOBILIARY STENT FOR TEMPORARY RESTORATION OF BILIARY TRACT AFTER IATROGENIC INJURY. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017;22(3):87-92. (In Russ.) https://doi.org/10.16931/1995-5464.2017387-92
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