PERCUTANEOUS TRANSHEPATIC APPROACH FOR RESOLUTION OF SELF-EXPANDABLE METALLIC STENT OCCLUSION IN PATIENT WITH BENIGN BILIARY OBSTRUCTION
https://doi.org/10.16931/1995-5464.2017393-99
Abstract
It is presented case report of the patient with benign cicatricial stricture (Bismuth II,) caused by thermal trauma of the bile duct (Strasberg D) during laparoscopic cholecystectomy in 1998. Laparotomy followed by external biliary drainage with T-shaped tube were performed. The drain was removed in 35 days after surgery. In 2010 uncovered metal stent was deployed for the stricture of common bile duct. In 2014 covered metal stent was installed in stent-in-stent fashion via antegrade access due to stent occlusion with granulations, cholangitis and mechanical jaundice. Patient's state was satisfactory within 12-month follow-up.
About the Authors
A. A. Rebrov
Pavlov First St. Petersburg State Medical University of Ministry of Healthcare of the Russian Federation.
Russian Federation
Rebrov Anton Aleksandrovich – Cand. of Med. Sci., Assistant of General Surgery Department, Pavlov First St. Petersburg State Medical University.
Russian Federation
Rebrov Anton Aleksandrovich – Cand. of Med. Sci., Assistant of General Surgery Department, Pavlov First St. Petersburg State Medical University.
D. Yu. Semyonov
Pavlov First St. Petersburg State Medical University of Ministry of Healthcare of the Russian Federation.
Russian Federation
Semyonov Dmitriy Yuryevich – Doct. of Med. Sci., Professor, Head of General Surgery Department, Pavlov First St. Petersburg State Medical University
Russian Federation
Semyonov Dmitriy Yuryevich – Doct. of Med. Sci., Professor, Head of General Surgery Department, Pavlov First St. Petersburg State Medical University
E. S. Did-Zurabova
Pavlov First St. Petersburg State Medical University of Ministry of Healthcare of the Russian Federation.
Russian Federation
Did-Zurabova Elena Sergeevna – Cand. of Med. Sci., Assistant of General Surgery Department, Pavlov First St. Petersburg State Medical University.
Russian Federation
Did-Zurabova Elena Sergeevna – Cand. of Med. Sci., Assistant of General Surgery Department, Pavlov First St. Petersburg State Medical University.
V. V. Melnikov
Pavlov First St. Petersburg State Medical University of Ministry of Healthcare of the Russian Federation.
Russian Federation
Russian Federation
Melnikov Vasiliy Valerievich – Surgeon at the Research Institute for Surgery and Emergency Medicine, Department of Minimally Invasive Technology, Robotic Surgery and Endoscopy, Pavlov First St. Petersburg State Medical University.
For correspondence: Apt. 168, 19/1, Zarechnaya str., St. Petersburg, 194356, Russian Federation. Phone: 8-961-800-02-56. E-mail: vasr_85@mail.ru
O. V. Kamenskaya
Pavlov First St. Petersburg State Medical University of Ministry of Healthcare of the Russian Federation.
Russian Federation
Kamenskaya Olga Vladimirovna – Radiologist at the Radiology Department, Pavlov First St. Petersburg State Medical University.
Russian Federation
Kamenskaya Olga Vladimirovna – Radiologist at the Radiology Department, Pavlov First St. Petersburg State Medical University.
Z. A. Gunya
Pavlov First St. Petersburg State Medical University of Ministry of Healthcare of the Russian Federation.
Russian Federation
Gunya Zinaida Anatolyevna – Postgraduate Student, General Surgery Department, Pavlov First St. Petersburg State Medical University.
Russian Federation
Gunya Zinaida Anatolyevna – Postgraduate Student, General Surgery Department, Pavlov First St. Petersburg State Medical University.
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Review
For citations:
Rebrov A.A., Semyonov D.Yu., Did-Zurabova E.S., Melnikov V.V., Kamenskaya O.V., Gunya Z.A. PERCUTANEOUS TRANSHEPATIC APPROACH FOR RESOLUTION OF SELF-EXPANDABLE METALLIC STENT OCCLUSION IN PATIENT WITH BENIGN BILIARY OBSTRUCTION. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017;22(3):93-99. (In Russ.) https://doi.org/10.16931/1995-5464.2017393-99
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