Abstract:
To estimate the results of direct and remote
observations of 153 patients with post-operative scar strictures
of MBD and early imposed BDA. Materials and Methods:
The treatment results of 153 patients operated in Republican
Specialized Center of surgery named after academician V.
Vachidov with post-traumatic scar strictures of magisterial bile
ducts (MBD) (134 patients – 87.6%), and with scar stenosis of
BDA (19 patients – 12.4%), early formed because of trauma of
MBD in the period from 2000 to 2015 were included. Results:
Reconstructive operative interventions were performed in
129 (84.3%) patients: HepJA – 125, HepDA – 4. Recovery
operations – BBA were done 13 (8.5%) and X-ray endobiliary
intervention (XREBI) in 11 (7.2%) patients. Conclusions:
Choice of operation in scar strictures of MBD is HepJA on Roux.
The main conditions, influence on long-term results of HepJA,
are stricture level, diameter of formed anastomosis and using
of THCD. HepJA without THCD improves results of treatment,
but this technique is not used in significant part of patients with
high strictures of bile ducts.
