Bagnenko S F, Savello V E, Kabanov M Iu, Korol'kov A Iu, Iakovleva D M
Vestn Khir Im I I Grek. 2008;167(2):69-71.
For the period from 2000 through 2007 there were 27 patients treated for lesions of extrahepatic bile ducts of different genesis. Since all the lesions were high, we have formed biliodigestive anastomoses on the exchangeable transhepatic drains by the method of Groetz-Saypol-Kurian. In a month after the operation and a standard management of the exchangeable transhepatic drains we departed from the classical technique and applied nonperforated drains. Using the nonperforated exchangeable transhepatic drains in patients after reconstructive operations on the extrahepatioc bile ducts gave good immediate results of operations and substantially improved quality of life of the patients in the postoperative period.
在2000年至2007年期间,有27例患者接受了不同病因的肝外胆管病变治疗。由于所有病变位置较高,我们采用格罗茨 - 赛波尔 - 库里安方法,在可更换的经肝引流管上进行胆肠吻合术。术后一个月,在对可更换的经肝引流管进行标准管理后,我们摒弃了传统技术,采用了无孔引流管。在肝外胆管重建手术后的患者中使用无孔可更换经肝引流管,手术即刻效果良好,且显著改善了患者术后的生活质量。