3. Повреждение желчных протоков после лапароскопической холицистэктомии. Обзор литературы

Авторы

  • М.О. Досханов АО «Национальный научный центр хирургии им. А.Н. Сызганова», г. Алматы, Казахстан
  • Б.Б. Баймаханов АО «Национальный научный центр хирургии им. А.Н. Сызганова», г. Алматы, Казахстан
  • А.Т. Чорманов АО «Национальный научный центр хирургии им. А.Н. Сызганова», г. Алматы, Казахстан
  • Ж.Б. Баймаханов АО «Национальный научный центр хирургии им. А.Н. Сызганова», г. Алматы, Казахстан
  • Ш.А. Қаниев АО «Национальный научный центр хирургии им. А.Н. Сызганова», г. Алматы, Казахстан
  • А.С. Сқақбаев АО «Национальный научный центр хирургии им. А.Н. Сызганова», г. Алматы, Казахстан
  • Ж.И. Исмет НАО «Национальный медицинский университет им. С.Д. Асфендиярова», г. Алматы, Казахстан
  • К.К. Шарметова НАО «Национальный медицинский университет им. С.Д. Асфендиярова», г. Алматы, Казахстан
  • Л.С. Үсен НАО «Национальный медицинский университет им. С.Д. Асфендиярова», г. Алматы, Казахстан
  • Д.Е. Мадеханова НАО «Национальный медицинский университет им. С.Д. Асфендиярова», г. Алматы, Казахстан

Загрузки

Аннотация

В данной статье представлен обзор литературы о повреждениях желчных протоков после лапароскопиче-ской холицистэктомии. Лапараскопия считается золотым стандартом при лечении желчнокаменной болезни. Данная методика имеет ряд положительных преимуществ: малоинвазивность, быстрая реабилитация, более короткий срок пребывания в стационаре, хороший косметический эффект, низкий летальный исход. Вместе с данными преимуществами возросло и число осложнений: повреждение желчных протоков,печеночных сосу-дов, желчеистечение, образование стриктур, дефекты дренирования желчных путей и неправильная обработка пузырного протока, недостаточное дренирование брюшной полости. На сегодняшний день многие аспекты хирургического лечения и профилактика травм желчных протоков остаются спорными и по сей день считается актуальным. Основные причины данного осложнения: отсутствие опыта хирурга, невнимательность, незнание основных вариантов и возможных аномалий важных анатомиче-ских образований в зоне ворот печени и печеночно-дуоденальной связки, технические ошибки.

Ключевые слова

iatrogenic trauma to the bile ducts, damage to the bile ducts

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Опубликован

2021-11-15

Выпуск

№ 3 (2021)

Раздел

Статьи