Starkov Yu G, Zamolodchikov R D, Dzhantukhanova S V, Kontorshchikov P K
Vishnevsky National Medical Research Center for Surgery, Moscow, Russia.
Khirurgiia (Mosk). 2022(4):86-90. doi: 10.17116/hirurgia202204186.
Intraoperative damage to the bile ducts following laparoscopic cholecystectomy is still one of the urgent problems of modern minimally invasive surgery. In some cases, these complications lead to patient disability, deterioration in their quality of life and need for redo surgery including technically difficult procedures. Modern endoscopic technologies are essential in the treatment of postoperative benign strictures of the common bile duct. These approaches can heal some patients after intraoperative bile duct trauma. Nevertheless, endoscopic treatment is ineffective or impossible in some clinical situations. Reconstructive Roux-en-Y hepaticojejunostomy through laparotomy is a preferable procedure in these patients for many years. However, we report successful laparoscopic reconstructive Roux-en-Y hepaticojejunostomy in a patient with postoperative stricture of the common bile duct Halperin type 0.
腹腔镜胆囊切除术后胆管的术中损伤仍是现代微创手术的紧迫问题之一。在某些情况下，这些并发症会导致患者残疾、生活质量下降，并需要再次手术，包括技术难度较大的手术。现代内镜技术对于治疗术后胆总管良性狭窄至关重要。这些方法可使一些术中胆管创伤后的患者痊愈。然而，在某些临床情况下，内镜治疗无效或无法实施。多年来，通过剖腹手术进行的重建性Roux-en-Y肝空肠吻合术一直是这些患者的首选手术方式。然而，我们报告了一例Halperin 0型胆总管术后狭窄患者成功实施腹腔镜重建性Roux-en-Y肝空肠吻合术的病例。
