AREFLUX ANASTOMOSES IN SURGERY OF BENIGN BILIARY STRICTURES
https://doi.org/10.21886/2219-8075-2015-1-91-95
Abstract
Purpose: to improve on the results of biliodigestive (BD) reconstructive operations for benign biliary strictures using of arefl ux modifi cation of hepatico-/choledochojejunostomy (HJS/CJS) (Russian Fed.Patent No2470592) .
Material and methods; a valve mechanism of proposed BD-anastomosis was studied on 14 organ complexes. Clinical researches based on comparable studies of postoperative period in two groupsof patients: I (control group) included 44 patients operated on using standard surgical procedure, II – 31 patients were undergone BD reconstruction with arefl ux valve.
Results: estimation of postoperative period by such parameters as dynamics of blood analyses, complications, symptoms of dyspepsia and quality of life showed advantages in II group of patients.
Summary: use of arefl ux modifi cation of HJS/CJS allows reach the better results of postoperative period on parameters of comlications and quality of life in compare with standard method of BD reconstruction.
About the Authors
Yu. V. Khoronko
Rostov State Medical University, Department of Operative Surgery and Clinical Anatomy, Department of Surgery
Russian Federation
Russian Federation
A. N. Ermolaev
Rostov State Medical University, Department of Operative Surgery and Clinical Anatomy, Department of Surgery
Russian Federation
Russian Federation
E. Yu. Khoronko
Rostov State Medical University, Department of Operative Surgery and Clinical Anatomy, Department of Surgery
Russian Federation
Russian Federation
References
1. Гальперин Э.И. Операции при рубцовых стриктурах желчных протоков. / Э.И. Гальперин, Т.Г. Дюжева, А.Ю. Чевокин // В кн.: Руководство по хирургии желчных путей.2-е изд./ Под редакцией Гальперина Э.И., Ветшева П.С. – М.: Издательский дом Видар-М, 2009. – 568 с. – С.530-557.
2. Эволюция хирургического лечения доброкачественных стриктур внепеченочных желчных протоков / О.Г. Скипенко, Н.Г. Ратникова, Н.Н. Багмет, А.И. Лабия // Клинические перспективы в гастроэнтерологии, гепатологии. - 2007. - №4. – 17-24.
3. Чевокин А.Ю. Технические особенности формирования прецизионных анастомозов при рубцовых стриктурах желчных протоков / А.Ю. Чевокин // Анналы хирургической гепатологии . 2011. – Т.16, №3. – С.79-87.
4. Heidenhain C. Hepatobiliary anastomosis techniques / C. Heidenhain, R. Rosch, U.P.Neumann // Chirurg. – 2011. – Vol.82, N1. – P.7-10.
5. Buchman A.L. Etiology and Initial Management of Short Bowel Syndrome / A.L. Buchman // Gastroenterology. – 2006. – Vol.130, N.2. – S.5-15.
6. Donohoe C.L. Short bowel syndrome / C.L. Donohoe, J.V. Reynolds // Surgeon. – 2010. – Vol.8, N.5. – P.270-279.
7. Арефлюксный гепатикоеюноанастомоз при раке внепеченочных желчных протоков и головки поджелудочной железы / Г.К. Жерлов, А.В. Карпович, Д.В. Зыков [и др.] // Хирургия. Журнал им. Н.И.Пирогова. – 2009. - №3. – С.17-22.
8. Development of a novel refl ux-free bilioenteric anastomosis procedure by using a bioabsorbable polymer tube / M. Aikawa, M. Miyazawa, K. Okada [et al] //J Hepatobiliary Pancreat Sci. – 2010. – Vol.17, N.3. – P.284-290.
9. Successful treatment of recurrent cholangitis aft er adult liver transplantation with a Tsuchidaantirefl ux valve / G. Orlando, J.S. Blairvacq, J.B. Otte [et al] // Transplantation. – 2004. – Vol.77, N8. – P.1307-1308..
Review
For citations:
Khoronko Yu.V., Ermolaev A.N., Khoronko E.Yu. AREFLUX ANASTOMOSES IN SURGERY OF BENIGN BILIARY STRICTURES. Medical Herald of the South of Russia. 2015;(1):91-95. (In Russ.) https://doi.org/10.21886/2219-8075-2015-1-91-95
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