Kadoshchuk T A
Khirurgiia (Mosk). 1990 Oct(10):78-83.
The results of diagnosis and treatment of iatrogenic injuries of the extrahepatic biliary tract in 47 patients are analysed. The injury was detected during the operation only in 6 cases, in 41 cases it was revealed on the 1st-6th postoperative day. Intensive conservative therapy was applied in the preoperative period to correct the values of homeostasis and metabolism. Special attention was attached to antibacterial therapy aimed at suppression of ++non-clostridial anaerobic infection. Sixty-three surgical interventions were conducted on 47 patients; 47 of them were restorative or reconstructive, 15 were undertaken for emergency indications, one, for developed postoperative complication. One patient died. Particular importance was attached to adequate draining both in emergency and in reconstructive and restorative operations.
分析了47例肝外胆道医源性损伤的诊断和治疗结果。仅6例损伤在手术中被发现，41例在术后第1至6天被发现。术前采用强化保守治疗以纠正内环境稳定和代谢指标。特别关注旨在抑制非梭菌性厌氧菌感染的抗菌治疗。对47例患者进行了63次手术干预；其中47次为修复或重建手术，15次为急诊手术，1次为术后并发症手术。1例患者死亡。无论是急诊手术还是修复和重建手术，充分引流都尤为重要。
