12. Холецистэктомиядан кейінгі өт жолдарының ятрогенді стриктуралары

Авторлар

  • A.A. – Asadova Азербайджанский Медицинский Университет, Баку, Азербайджан

Жүктеулер

Аңдатпа

Өт жолдарының қатерсіз структуралары әр түрлі себептермен болуы мүмкін, бірақ жағдайлардың шамамен 80% -ы лапароскопиялық немесе ашық холецистэктомия кезінде ятрогенді жарақатқа бай-ланысты. Лапароскопиялық холецистэктомияны кеңінен қолданғаннан кейін, өт жолдарының ятрогенді зақымдану жиілігі ашық холецистэктомиямен салыстырғанда екі-төрт есе артты. Холецистэктомиядан кейін ятрогенді билиарлы стрикураны емдеу қиын және мультидисциплинарлы әдісті қажет етеді, соның ішінде гепатобилиарлы хирургтар, эндоскопистер және интервенциялық рентгенологтар. Көптеген пластикалық стенттерді қолданатын эндоскопиялық стенттеу өт жолдарының струстық ятрогенді стриктураларының көпшілігінде бірінші кезектегі терапия ретінде таңдалуы керек. Хирургиялық емдеу хирургиялық емес емдеу сәтсіздікке ұшыраған күрделі билиарлы және анастомозды стриктуралары бар науқастарға көрсетілген. Бауыр трансплантациясы үшін күрделі жарақаттармен (васкуло-билиар-лы жарақат), екінші дәрежелі билиарлы цирроз және портальды гипертензиямен ауыратын науқастар жақсы үміткерлер болып табылады. Жаңа технологияларды енгізу болашақта емдеу әдістерінің жақсаруына үміт артады.

Кілт сөздер

өт жолдарының ятрогенді стриктуралары, холоцистэктомия, эндоскопиялық емдеу, гепатикоежуностомия

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Жарияланды

2020-12-01

Журналдың саны

№ 4 (2020)

Бөлім

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