Strategy in the treatment of patients with early complications and late consequences of unintentional damage to the bile ducts (clinical experience)

Damage to the bile ducts is considered the most serious complication of operations on the organs of the hapatopancreatoduodenal zone, they often cause severe consequences in the early postoperative period, as well as the cause of disability of young and able-bodied patients in the late stages. Thus, unintended damage to the bile ducts is a medical and social problem, many generations of specialists from various clinics are engaged in the search for optimal solutions to various problems of early complications of the postoperative period and the late consequences of reconstructive operations on the bile ducts. In modern conditions, the place and role of minimally invasive operations in the care of patients with bile duct injuries are being determined, and the possibility and effectiveness of percutaneous combined operations in the treatment of patients with biliobiliary strictures and biliodigestive anastomoses are being determined. The aim of the work is to evaluate the effectiveness and alternative of the developed combined minimally invasive operations for early complications and late consequences of various types of damage to the bile ducts. The study included 193 patients, of which 55 patients with early complications of unintended damage to the bile ducts, 138 with late consequences of reconstructive biliary tract and biliodigestive operations. Original minimally invasive combined operations were used to restore the integrity and patency of unintentionally damaged bile ducts after surgery on the organs of the hepatopancreatobiliary zone. Analyzing the effectiveness of the developed minimally invasive operations, the following data were obtained: in early complications of unintended damage to the bile ducts, the effectiveness was 90.91 %, and in patients with biliary and biliodigestive strictures – 97.82 %.