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Journal articles on the topic 'External drainage of bile ducts'

Author: Grafiati

Published: 4 June 2025

Last updated: 1 August 2025

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1

Prudkov, M. I., and A. D. Kovalevskii. "Transfistula fibrocholangioscopy: diagnosis and correction for major duodenal papilla drainage disturbances." Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery 27, no. 4 (2022): 91–99. http://dx.doi.org/10.16931/1995-5464.2022-4-91-99.

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Aim. To explore the potential of transfistula fibrocholangioscopy for the definite diagnosis and correction of drainage disturbances in the major duodenal papilla and the terminal portion of the common bile duct.Materials and methods. In the period of 2017–2019, we examined 230 patients with functioning external biliary drains, who underwent surgery in the hospitals of the region. Residual concrements were identified and removed from the bile ducts of 158 patients through external biliary fistulas. The research methodology involved monitoring the external bile flow rate, fistulocholangiography

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Korniychuk, V. Y., M. O. Dudchenko, and V. I. Lyakhovskiy. "SUCCESSFUL SURGICAL MANAGEMENT OF A CHOLECYSTOCHOLEDOCHAL FISTULA: A CASE REPORT." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 25, no. 2 (2025): 190–93. https://doi.org/10.31718/2077-1096.25.2.190.

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Gallstone disease is one of the most common diseases of the gastrointestinal tract. When gallstones enter the bile duct, they can cause obstruction of the bile ducts, which leads to jaundice, cholangitis, and obstruction of the common bile duct can even lead to pancreatitis. Moreover, gallstones can result in such serious complications as biliary perforation, biliary fistulas and neoplasms. In the case of Mirizzi syndrome, the common bile or hepatic ducts are externally compressed by calculi in the neck of the gallbladder, and in Bouveret syndrome, acute small intestinal obstruction occurs as

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Camacho, Juan C., Lynn A. Brody, and Anne M. Covey. "Treatment of Malignant Bile Duct Obstruction: What the Interventional Radiologist Needs to Know." Seminars in Interventional Radiology 38, no. 03 (2021): 300–308. http://dx.doi.org/10.1055/s-0041-1731269.

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AbstractManagement of malignant bile duct obstruction is both a clinically important and technically challenging aspect of caring for patients with advanced malignancy. Bile duct obstruction can be caused by extrinsic compression, intrinsic tumor/stone/debris, or by biliary ischemia, inflammation, and sclerosis. Common indications for biliary intervention include lowering the serum bilirubin level for chemotherapy, ameliorating pruritus, treating cholangitis or bile leak, and providing access for bile duct biopsy or other adjuvant therapies. In some institutions, biliary drainage may also be c

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Kutovyi, O.B., D.V. Balyk, and D.O. Kysilevskyi. "Functional state of the liver after external drainage of bile ducts in patients with a high level of obstructive jaundice." Medicni perspektivi 25, no. 1 (2020): 150–56. https://doi.org/10.26641/2307-0404.2020.1.200415.

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<strong> </strong>The results of the examination and treatment of 67 patients with a high level of obstructive jaundice were analyzed. Diagnosis of obstructive jaundice syndrome was based on the data of anamnesis, complaints, physical, laboratory and instrumental research methods. Among the latter we performed ultrasound investigation (USI) of abdominal organs and bile ducts  as a screening method, fibrogastroduodenoscopy (FGDS), computed tomography(CT), magnetic resonance cholangiopancreatography (MRCPG) was carried out if necessary. The cause of a high level of obstr

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Kanikovskyi, Oleg Y., Yaroslav V. Karyi, Yura V. Babiichuk, and Yevhen V. Shaprynskyi. "COMPARATIVE ASSESSMENT OF BILE DUCT DECOMPRESSION METHODS IN PATIENTS WITH OBSTRUCTIVE JAUNDICE OF NON-TUMOR GENESIS." Wiadomości Lekarskie 72, no. 7 (2019): 1247–52. http://dx.doi.org/10.36740/wlek201907104.

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Introduction: Obstructive jaundice is one of the most common diseases of the digestive system observed in 10-15% of the world’s population. The question of making a choice among methods of bile duct decompression is still under discussion, since both single-stage and two-stage methods of biliary decompression lead to progression of hepatic insufficiency after restoration of bile passage. The aim: To determine a tempo of biliary decompression after external and internal drainage of bile ducts, endoscopic transpapillary interventions in patients with obstructive jaundice of non-tumor genesis. Ma

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Romashchenko, P. N., N. A. Maystrenko, A. S. Pryadko, and A. K. Aliev. "Bile duct injuries and systemic approach to the treatment." Annaly khirurgicheskoy gepatologii = Annals of HPB surgery 24, no. 1 (2019): 71–82. http://dx.doi.org/10.16931/1995-5464.2019171-82.

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Aim.Present a program of examination and treatment of patients with biliary duct injury, corresponding to the level of the international protocol and modern requirements for the quality of medical care.Material and methods.The results of examination and treatment of 77 patients with bile ducts injuries are analyzed. The analysis of the main surgical interventions for the elimination of bile ducts injuries is given: reconstructive operations in 44.3% of patients, recovery operations – in 36.7% and external drainage – in 19%.Results.A program approach has been developed to assist patients with b

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L, Yassine. "Biliary Sodium Depletion: A Rare Cause of Hyponatremia and Renal Failure." Gastroenterology & Hepatology International Journal 6, no. 2 (2021): 1–3. http://dx.doi.org/10.23880/ghij-16000185.

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External biliary drainage is a necessary procedure in some situations, particularly in tumor obstructions of the bile ducts. We report the case of a 51-year-old man with hyponatremia and functional renal failure after high-volume biliary excretion following external percutaneous transhepatic biliary drainage for an obstructive Klatskin tumor. Our case shows that internal drainage should be preferred to external drainage which is a source of hydroelectrolyte and circulatory complications that can be life-threatening.

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Vansovich, V. Ye, Yu M. Kotik, V. I. Pshenichnyi, and R. S. Vastyanov. "DIFFERENT ANATOMY OF EXTRAHEPATIC BILE DUCT IN PATIENTS WITH CALCULOUS CHOLECYSTITIS: CLINICAL OBSERVATIONS." Kharkiv Surgical School, no. 4-5 (October 26, 2022): 143–46. http://dx.doi.org/10.37699/2308-7005.4-5.2022.28.

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Summary. The aim of investigation – to get acquainted with the possibilities of variant anatomy of the extrahepatic bile ducts location. Results and their discussion. In our own practice, we observed two patients with the extrahepatic bile ducts atypical anatomy. Patient G. was operated because of chronic calculous cholecystitis. During laparoscopic cholecystectomy, we encountered the following situation: it was found that the gallbladder has a very short duct directly in the region of the portal of the liver. After dissection it was found that d. cysticus flows into the right hepa

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Melekhina, Olga V., Yu Y. Sokolov, A. M. Efremenkov, et al. "Percutaneous transhepatic cholangiostomy in children." Russian Journal of Pediatric Surgery 27, no. 5 (2023): 331–37. http://dx.doi.org/10.55308/1560-9510-2023-27-5-331-337.

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Introduction. Congenital malformations of the bile ducts, complicated course of cholelithiasis, strictures of biliodigestive anastomoses, tumors of the pancreatobiliary zone can lead to mechanical jaundice. It is not always possible to perform unloading cholecystostomy for the urgent bile derivation, to stent bile ducts with retrograde endoscopy; more so, to perform radical surgery under hyperbilirubinemia is a risky intervention that can cause complications. Then, percutaneous transhepatic cholangiostomy becomes a method of choice. We present our own experience of interventional surgical proc

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Kashaeva, M. D., A. V. Proshin, L. G. Proshina, D. A. Shvetsov, and D. S. Dyukov. "Anatomical characteristics and clinical rationale of endobiliary surgeries for benign obstructional jaundice." Vestnik NovSU, no. 4 (2023): 505–19. http://dx.doi.org/10.34680/2076-8052.2023.4(133).505-519.

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Variants of the anatomical structure of the bile ducts were studied based on endobiliary cholangiography performed in 150 patients who were treated in surgical clinics with a diagnosis of obstructive jaundice of non-tumor etiology, and a retrospective and prospective analysis of the results of their treatment was carried out. The study included the sequence of treatment and diagnostic techniques, the content of preoperative preparation and the alternation of various minimally invasive endobiliary operations. The patients were divided into control and main groups. The control group consisted of

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Maistrenko, N. A., P. N. Romashchenko, A. S. Pryadko, and A. K. Aliev. "SUBSTANTIATION OF SURGICAL APPROACH IN IATROGENIC INJURIES OF THE BILE-EXCRETING DUCTS." Grekov's Bulletin of Surgery 174, no. 5 (2015): 22–31. http://dx.doi.org/10.24884/0042-4625-2015-174-5-22-31.

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The results of examination and treatment were analyzed in 51 patients with iatrogenic injuries of the bile-excreting ducts. Patients were divided into 5 groups according to international classification (EAES, 2013). It depended on the time of detection, the nature and scale of damage of the bile ducts, mechanism of injury, development of infectious and septic complications. Injuries of the main bile duct were detected intraoperatively (n=14). The complete intersection was in 10 patients (the first group) and the edge intersection - in 4 cases (the second group). Iatrogenic injuries of the bile

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Okhotnikov, O. I., M. V. Yakovleva, S. N. Grigoriev, and V. I. Pakhomov. "SOME FEATURES OF CHOLESTASIS IN CANCER PATIENTS IN THE COURSE O THE IMPAIRMENT OF LIVER FUNCTIONAL RESERVES." Russian Journal of Oncology 22, no. 2 (2017): 80–83. http://dx.doi.org/10.18821/1028-9984-2017-22-2-80-83.

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Purpose. To discuss the possible causes of discrepancies in results of laboratory and X-ray methods of diagnostics of surgical cholestasis without a concomitant dilatation of the bile ducts, as well as features of X-ray-surgical tactics in such cases. Material and methods. In 2015-2016, 271 percutaneous transhepatic cholangiostomies were performed, including 23 cases - on unexpanded bile ducts, 7 these cancer patients with the laboratory evidence of cholestasis. The criteria for the absence of dilatation of the intrahepatic bile ducts were considered as not only an obvious non-visualized bilia

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13

Zagainov, V. E., O. V. Ruina, N. V. Zarechnova, et al. "Infectious complications after elective surgeries on the liver and pancreas." Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery 28, no. 4 (2023): 71–80. http://dx.doi.org/10.16931/1995-5464.2023-4-71-80.

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Aim. To analyze the complications of liver and pancreas surgeries, including infectious complications, and to describe the evolution of microbial flora in the hepatopancreatobiliary surgery unit.Materials and methods. The study involved 650 patients who underwent pancreatoduodenectomy and 1253 patients after liver resection. Types of preoperative biliary drainage were evaluated in terms of their influence on the treatment results. The incidence and nature of postoperative bile leakage were studied. The study included an analysis of microbial flora in the hepatopancreatobiliary surgery unit for

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Kotelnikova, L. P., I. G. Burnyshev, O. V. Bazhenova, and D. V. Trushnikov. "Results of surgical treatment of extrahepatic bile duct injuries." Perm Medical Journal 37, no. 1 (2020): 63–72. http://dx.doi.org/10.17816/pmj37163-72.

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Aim. To evaluate the short-and long-term outcomes after surgical repair of iatrogenic lesions of extrahepatic bile ducts depending on the timing of diagnosis in conditions of specialized clinic. Materials and methods. Our study involved a retrospective analysis of 159 patients who were treated for iatrogenic lesions of extrahepatic bile ducts during 1987-2017. These patients were divided into two groups depending on the timing of surgical treatments: early biliary reconstruction ( 5 days after bile duct transection) and late biliary reconstruction ( 5 days post-transection). These groups

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Avanesyan, R. G., M. P. Korolev, M. Yu Pletnev, S. N. Sabri, and T. V. Amirkhanyan. "Original method for restoring the continuity of the lobar duct of the liver in case of iatrogenic damage." Grekov's Bulletin of Surgery 181, no. 1 (2022): 60–65. http://dx.doi.org/10.24884/0042-4625-2022-181-1-60-65.

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The OBJECTIVE was to demonstrate an original minimally invasive way to restore the continuity of the lobar duct after its complete intersection.METHODS AND MATERIALS. The study included 3 patients aged 38, 56 and 69 years who underwent laparoscopic cholecystectomy for cholelithiasis, cholecystolithiasis in various medical institutions of the city. In all patients, the intersection of the right lobar duct with the formation of an external biliary fistula in the postoperative period was revealed. RESULTS. All patients underwent recanalization of the crossed duct on the first attempt. After the f

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Trifonov, Sergei, Yuri Kovalenko, Aleksey Varava, and Vladimir Vishnevsky. "Place and significance of reconstructive surgical interventions in patients with high corrosive strictures of the bile ducts." Hirurg (Surgeon), no. 3-4 (April 1, 2020): 3–14. http://dx.doi.org/10.33920/med-15-2002-01.

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The most technically difficult for reconstructive interventions on the bile ducts with a high level of postoperative complications and recurrences are strictures of “-1”, “-2” and “-3” types according to E. Halperin (type E3 - E5 according to Bismuth-Strasberg). From 2012 to 2018 the A.V. Vishnevsky Institute of Surgery treated 96 patients with this pathology. The best treatment results were observed in patients with preserved confluence – 92% of successful interventions. An independent risk of stricture recurrence is previous external drainage of the bile ducts after injury, a high level of s

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Simeonov, Simeon. "DIAGNOSE WITH “MIRIZZI SYNDROME”." KNOWLEDGE INTERNATIONAL JOURNAL 31, no. 6 (2019): 2029–33. http://dx.doi.org/10.35120/kij31062029s.

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Mirizzi syndrome is a rare but serious complication of the gallstone disease. In 1948 Pablo Luis Mirizzi for the first time described the so called ‘functional hepatic syndrome in patients ‘, who had obstructing concretion in d. cysticus causing cholestasis in the general bile duct by external compression. The compression, process of inflammation and wall ischemia result in erosion of the tissue engaged and appearance of various complications – abscess of the gallbladder, perivesicalar abscess, cholecystoduodenal fistula, stricture of bile ducts, biliary fistula. Mirizzi syndrome is still a ch

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Gunya, Zinaida A., Anton A. Rebrov, Dmitrii Yu Semenov, Vasilii V. Mel’nikov, and Aleksei A. Vaganov. "PREVENTION OF PURULENT CHOLANGITIS AFTER PERCUTANEOUS ENDOBILIARY TRANSPAPILLARY DRAINAGE IN PATIENTS WITH OBSTRUCTIVE JAUNDICE." Scientific Notes of the Pavlov University 26, no. 1 (2019): 35–41. http://dx.doi.org/10.24884/1607-4181-2019-26-1-35-41.

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Introduction. The incidence of cholangitis varied from 9 % to 33 % after the insertion of transpapillary external-internal endobiliary drainage. In case of proximal bile obstruction, the method of suprapapillary insertion of external-internal drainage were widely used for prevention of purulent complications. But it was impossible to use this method in case of distal bile obstruction. The choice of initial decompression method for distal bile duct obstruction (external only or transpapillary external-internal drainage) was unclear.The objective was to improve results of primary percutaneous tr

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Okhotnikov, O. I., M. V. Yakovleva, and O. S. Gorbacheva. "X-ray surgery for benign biliary strictures after cholecystectomy." Annaly khirurgicheskoy gepatologii = Annals of HPB surgery 24, no. 1 (2019): 83–91. http://dx.doi.org/10.16931/1995-5464.2019183-91.

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Aim.To determine the role of antegrade X-ray surgical interventions in the treatment of benign postoperative biliary strictures.Material and methods.A retrospective analysis of treatment of 36 patients with benign biliary strictures was performed. Isolated stricture of biliodigestive anastomosis was diagnosed in 25 cases, partial clipping of common hepatic duct proximal to biliodigestive anastomosis – in 3 cases, partial clipping of bile duct – in 3 patients, isolated biliary strictures – in 5 patients including 4 of them with stricture within previously deployed T-shaped drainage. At the firs

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Lauterio, Andrea, Abdallah Slim, Paolo Aseni, et al. "Percutaneous Transhepatic Bile Duct Ablation with n-Butyl Cyanoacrylate in the Treatment of a Biliary Complication after Split Liver Transplantation." Journal of Transplantation 2009 (2009): 1–3. http://dx.doi.org/10.1155/2009/824803.

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Biliary complications continue to be a major cause of morbidity after split-liver transplantation (SLT). In this report we describe an uncommon late biliary complication. One year after SLT the patient showed an intrahepatic bile dicy dilatation with severe cholangitis episodes. The segmentary bile duct of hepatic segment VI-VII draining in the left duct was unidentified and tied at the time of the in situ split-liver procedure. We perform a permanent obliteration of the dilated intrahepatic ducts by a percutaneous embolization using an n-butyl cyanoacrylate (NABC). The management of biliary c

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Reda, Belbouab Amina Khabtani Hayet Benalioua Rachida Boukari. "Spontaneous Bile Duct Perforation: Two Case Reports and a Literature Review." International Journal of Medical Science in Clinical Research and Review 7, no. 01 (2024): 111–13. https://doi.org/10.5281/zenodo.10640785.

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<strong><u>ABSTRACT</u></strong><strong>:</strong> Spontaneous perforation of the biliary ducts is a rare disorder in infants. Early diagnosis of this entity is important because it can be treated surgically. The authors report on two patients with spontaneous biliary perforation who were treated during the year 2020 and 2022. The diagnosis was made in two children aged 2 and 4 months presenting progressive abdominal distension associated with jaundice, acholic stools and elevated bilirubin in the ascites fluid. Surgical exploration by laparotomy confirmed biliary duct perforation. Cholecystec

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Troshina, S. A., Yu A. Stepanova, and V. A. Vishnevsky. "Multiple cholangiogenic liver abscesses with cystic transformation of bile ducts." Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery 25, no. 4 (2020): 144–52. http://dx.doi.org/10.16931/1995-5464.20204144-152.

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In the present paper we show a rare case of choledocal cyst type IVa according to T. Todani classification in a 46-yearold patient. Four years after cystoenterostomy without cyst excision, a severe cholangitis developed. Multiple small abscesses of the right lobe of the liver were identified. Puncture-drainage and antibacterial treatment was started, diagnostic laparotomy was performed, but the patient's condition progressively worsened. So the patient was admitted to the Vishnevsky National Medical Surgery Research Center, where the diagnosis was confirmed. According to vital indications, a r

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Xuan, Jingjing, Lingxiang Che, and Yao Liu. "Ultrasonic Diagnosis of Intestinal Loop Obstruction After Introducing Loop Syndrome After Subtotal Gastrectomy." Journal of Medical Imaging and Health Informatics 11, no. 6 (2021): 1695–703. http://dx.doi.org/10.1166/jmihi.2021.3686.

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In this paper, a graphical diagnosis of intestinal loop obstruction input into the loop syndrome after subtotal gastrectomy based on ultrasound diagnosis is more fluid accumulating in the bridge loop. The pressure in the intestinal loop is constantly rising, causing bile and pancreatic juice excretion disorder, and dilation of intrahepatic and external bile ducts or dilation of pancreatic ducts, which is similar to the anatomical features of low biliary obstruction. For dilated bowel, the expansion of the upstream drainage pipe organ changes in physiological and pathological anatomy pathologic

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Pavlushin, Pavel M., Ivan A. Porshennikov, Vladimir N. Pavlik, Vladislav N. Tsyganok, and Alexey V. Gramzin. "Spontaneous biliary perforation in a child: case report and review." Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care 12, no. 4 (2023): 505–12. http://dx.doi.org/10.17816/psaic1285.

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Spontaneous perforation of the external biliary tract is an extremely rare pathology in childhood, presented in the literature by description of clinical cases. To date, a unified approach to the treatment of children with this pathology has not been developed. The paper presents a clinical case of spontaneous perforation of the anterior wall of the common hepatic duct in a child of seven months, with the development of bilioperitoneum against the background of obstruction of the common bile duct by bilirubin calculi. CASE REPORT. The disease began acutely with repeated vomiting, s

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Maksimenkov, A. V., A. S. Maady, S. V. Bruslik, A. L. Levchuk, T. I. Sviridova, and D. V. Sininkina. "EXPERIENCE OF ENDOSCOPIC USE OF THE COMBINED METHOD «RENDEZVOUS» ON THE DISTAL SECTION OF THE COMMON BILE DUCT IN RESIDUAL CHOLEDOCHOLITHIASIS WITH AN EXTERNAL BILIARY FISTULA." Bulletin of Pirogov National Medical & Surgical Center 20, no. 1 (2025): 158–60. https://doi.org/10.25881/20728255_2025_20_1_158.

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The article presents a clinical observation of patient N., 74 years old, with a history of surgery in August 2023 for cholelithiasis. During the surgical intervention, a number of complications were noted that required repeated operations and drainage of the common bile duct. In the postoperative period, drainage migrated with a clinical picture of biliary peritonitis. Relaparotomy, choledocholithotomy, lithoextraction, and redrainage of the common bile duct according to Kehr were performed. Due to the dislocation of the Kehr drainage, a drainage was installed in the subhepatic space, through

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Okhotnikov, O. I., M. V. Yakovleva, S. N. Grigoriev, V. I. Pakhomov, N. I. Shevchenko, and O. O. Okhotnikov. "Antegrade X-ray surgical interventions in patients with choledocholithiasis in case of failed endoscopic procedures." Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery 24, no. 2 (2019): 48–59. http://dx.doi.org/10.16931/1995-5464.2019248-59.

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Objective. To analyze safety and efficacy of X-ray surgical treatment of choledocholithiasis in case of failed endoscopic procedures. Material and methods. A retrospective analysis included 195 patients with choledocholithiasis who underwent X-ray surgical treatment. Primary X-ray surgical intervention was antegrade cholangiostomy. Data of antegrade cholangiography were used to determine type of endobiliary intervention. Antegrade mechanical and pneumatic choledocholithotripsy and lithoextraction, balloon dislocation of stones of the common bile duct into duodenum or jejunum, lithoextraction u

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Romashchenko, P. N., N. A. Maistrenko, A. S. Pryadko, A. K. Aliev, and E. S. Zherebcov. "UNPREMEDITATED INJURIES OF THE BILE DUCTS AND SYSTEMATED APPROACH TO THEIR ELIMINATION." Bulletin of the Russian Military Medical Academy 21, no. 1 (2019): 50–54. http://dx.doi.org/10.17816/brmma13042.

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Purpose of the study: To present the program of diagnosis and treatment of patients with injuries of the bile ducts, corresponding to modern requirements of medical care. Materials and methods: The results of examination and treatment of 77 patients with bile ducts injuries (BDI) are analyzed. The analysis of the main surgical interventions for the elimination of BDI is given: reconstructive operations in 44.3% of patients, recovery operations - in 36.7% and external drainage - in 19%. Results: A program approach was developed to provide care to patients with BDI. The implementation of this pr

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Noemi, Brignola. "An Idea of Management of Long Term Post Surgical Biliary Leakage Treated with External Drainage and Finally with NBCA Embolization." Mega Journal of Case Reports 7, no. 2 (2024): 2001–8. https://doi.org/10.5281/zenodo.10894760.

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AbstractIntroduction: Bile leaks can be a complication of abdominal surgeries. Their management involves a multidisciplinaryapproach and depends on a multitude of factors. We will discuss a case of biliary leakage after metastasectomy.Case presentation: A 60-year-old male patient visits the emergency room for abdominal pain and other symptoms suchas change of intestinal habits (alternating diarrhea-constipation) and rectal bleeding. CT abdomen without and withintravenous contrast reveals a distal colon mass with lymphadenopathy and liver metastasis. After neoadjuvantchemiotherapy the CT contro

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Belokonev, V. I. "Is a surgeon protected when treating complications after a previous operation? (a case study of treating patients with injuries and strictures of the extrahepatic bile ducts)." Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH) 14, no. 5 (2025): 6–12. https://doi.org/10.20340/vmi-rvz.2024.5.edt.1.

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Objective: to analyze the legal and professional protection of surgeons performing operations to treat complications after primary interventions on the extrahepatic bile ducts, using the example of treating patients with injuries and strictures.Materials and methods. A retrospective analysis of the treatment of 123 patients who underwent reconstructive surgery between 2000 and 2024 was conducted. Statistical analysis methods, including χ² tests and Yates's correction, were used to evaluate the results. The study included an examination of surgical techniques, treatment tactics, and legal aspec

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Vinnik, Yury S., E. V. Serova, D. A. Chernykh, A. V. Kovalev, D. V. Stratovich, and I. A. Prusov. "Clinical case of palliative antegrade surgical treatment of cancer of the major duodenal papilla." Russian Journal of Oncology 21, no. 5 (2016): 244–49. http://dx.doi.org/10.18821/1028-9984-2016-21-5-244-249.

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In the structure of malignant tumors, accompanied by obstructive jaundice, there are most occurred such as the lesion of the pancreas (47%), bile duct cancer (20%) also papillary carcinoma (MDP) and gall bladder cancer (about 15%). In the case of inoperable tumor, in elderly and senile patients with severe concomitant somatic pathology, there are indicated palliative interventions as follows: percutaneous transhepatic external or external-internal drainage of the biliary tract with possible subsequent percutaneous transhepatic stenting of the common bile duct. Under our observation there was a

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Belyuk, K. S., O. S. Soroka, E. А. Stasyukevich, N. S. Belyuk, Y. A. Yasiukevich, and A. Y. Zhamoitsina. "SURGICAL TREATMENT OF IATROGENIC BILE DUCT INJURY." Hepatology and Gastroenterology 9, no. 1 (2025): 51–57. https://doi.org/10.25298/2616-5546-2025-9-1-51-57.

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Background. Surgical approaches for bile duct injury remain debated. There being no commonly accepted algorithm for iatrogenic bile duct injury, determination of optimal surgical treatment for this pathology is still a clinically relevant issue. Objective. To demonstrate the outcomes of surgical treatment of a patient with iatrogenic bile duct injury. Material and methods. The article presents our own experience of surgical treatment of a patient with iatrogenic bile duct injury, who underwent external-internal common bile duct prosthetics using a technique developed in the clinic. Results. Th

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Movsisyan, M. O., A. V. Novozhilov, and S. E. Grigorev. "Restoration of Bile Outflow and Liver Revascularization After Cholecystectomy with Damage to the Hepaticocholedochus and Thrombosis of the Right Hepatic Artery." Russian Sklifosovsky Journal "Emergency Medical Care" 13, no. 1 (2024): 145–49. http://dx.doi.org/10.23934/2223-9022-2024-13-1-145-149.

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The problem of iatrogenic damage to the extrahepatic bile ducts during cholecystectomy remains relevant. Insufficient experience of the surgical team, limited knowledge of the topographic anatomy of the subhepatic space, especially in conditions of perivesical inflammatory infiltrate, poorly timed access conversion are some of the main reasons.The results of treatment of these patients depend on the timing of recognition of the injury, the type of the injury, the characteristics of reintervention, and timely reconstructive surgery performed in a specialized center. Up to 30 % of damage occurs

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Colovic, Radoje, Goran Barisic, and Velimir Markovic. "Long-term results of treatment of injuries to the sectoral and segmental bile ducts." Srpski arhiv za celokupno lekarstvo 131, no. 7-8 (2003): 314–18. http://dx.doi.org/10.2298/sarh0308314c.

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INTRODUCTION Surgically important variations of the sectoral and segmental bile ducts of the right lobe of the liver appear in a significant proportion of patients. Frequency of the injuries to these ducts is not known as the ligature of small ducts may pass without major consequences. MATERIAL AND METHODS Over a 27 year period (1. Jan 1974-31. Dec 2001) along with 168 patients with benign biliary strictures of type I, II, III and IV according to Bismuth's classification, we treated 13 patients with operative sectoral or segmental bile duct injuries, four patients from our institution and nine

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Xynos, Evaghelos, George Pechlivanides, Anastasios Tzortzinis, Antonis Papageorgiou, and John S. Vassilakis. "Hydatid Disease of the Liver. Diagnosis and Surgical Treatment." HPB Surgery 4, no. 1 (1991): 59–67. http://dx.doi.org/10.1155/1991/45101.

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A series of 155 cases of hepatic hydatid disease, occurring in 121 patients, were operated on at the Naval and Veterans Hospital of Athens. Ultrasonography and computerized axial tomography provided the preoperative diagnosis in 89 and 93 percent of the cases respectively in recent years. Thirty one percent of the cases presented with complications, the commonest of these being infection of the cyst (10 percent) and rupture of the cyst into the bile ducts (17 percent). Total cystectomy was performed in three cases and removal of the endocyst with its content in the remaining 152. The remaining

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Okhotnikov, Oleg I., M. V. Yakovleva, S. N. Grigoriev, and V. I. Pakhomov. "SOME FEATURES OF CHOLESTASIS IN CANCER PATIENTS DURING THE REDUCTION OF LIVER FUNCTIONAL RESERVES." Russian Journal of Oncology 23, no. 1 (2018): 14–19. http://dx.doi.org/10.18821/1028-9984-2018-23-1-14-19.

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Purpose. To determine the indications for the supra - and transpapillary externally-internal drainaging of the biliary tree in case of jaundice syndrome. Material and methods. The results of minimally invasive treatment of 246 patients with external-internal drainage of the biliary tree were analyzed. Among patients with proximal tumor block the external-internal drainage is made in 92 cases, in 42 (45,7%) out of them in suprapapillary embodiment and in 50 (54,3%) - via transpapillary approach. In 154 cases with distal tumor (obstruction peripapillary cancer) transpapillary drainage was perfor

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Novozhilov, A. V., M. O. Movsisyan, and S. E. Grigoryev. "Restoration of Bile Outflow in Case of Damage to Hepaticocholedochus and Failure of the Biliary Anastomosis After Laparoscopic Cholecystectomy." Russian Sklifosovsky Journal "Emergency Medical Care" 11, no. 2 (2022): 374–78. http://dx.doi.org/10.23934/2223-9022-2022-11-2-374-378.

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The aspect of injuring bile ducts during laparoscopic cholecystectomy is still of current concern. Causes of this complication include insufficient experience of surgical team, poor knowledge of topographic anatomy of subhepatic space, particularly when perivesical inflammatory infiltrate presents, inadequate approach conversion and so on. Most of patients with bile duct injuries undergo repeated operation in the same surgical unit where cholecystectomy was performed. In many cases, this results in a shortening of the segment of the common hepatic duct, which is favorable for restoration. Subs

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Belyuk, K. S., E. V. Mogilevets, A. V. Zabolotnaya, et al. "THE USE OF X-RAY ENDOVASCULAR METHODS OF DIAGNOSIS AND TREATMENT IN A PATIENT WITH POSTTRAUMATIC HEMOBILIA DUE TO PENETRATING WOUND OF THE ABDOMINAL CAVITY. OUR OWN EXPERIENCE." Hepatology and Gastroenterology 5, no. 1 (2021): 85–88. http://dx.doi.org/10.25298/2616-5546-2021-5-1-85-88.

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Background. Hemobilia is the excretion of blood alongside with bile through intra- and extrahepatic bile ducts. Despite the use of new methods of diagnosis and treatment, the mortality rate from hemobilia remains high (20-40%). Objective. To demonstrate a clinical case and some methods of diagnosis and treatment of a patient with hemobilia. Material and methods. The article presents our own clinical observation of a patient with a penetrating knife wound of the abdominal cavity with liver injury complicated by hemobilia. Two-stage treatment was performed including upper midline laparotomy, cho

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Howard, Jessica, Suzanne Di Sano, and David Burnett. "Spontaneous fistulisation of the common bile duct after transection by gunshot." BMJ Case Reports 14, no. 2 (2021): e238473. http://dx.doi.org/10.1136/bcr-2020-238473.

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A 35-year-old man presented with a gunshot wound to his abdomen via his lower chest. Initial laparotomy did not identify any perforation or contamination. On day 3, a laparotomy under the hepatobiliary service discovered a gastric perforation, two lateral duodenal perforations and a complete transection of the common bile duct, presumably delayed perforation from the shockwave injury produced by the bullet. Contamination and haemodynamic instability precluded immediate reconstruction, and abdominal drains and external biliary drainage were established. High-volume duodenal fistula was managed

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Tskhai, V. F., N. A. Brazhnikova, N. V. Merzlikin, et al. "Opisthorchosis liver abscesses." Bulletin of Siberian Medicine 10, no. 3 (2011): 129–34. http://dx.doi.org/10.20538/1682-0363-2011-3-129-134.

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There are studied frequency of abscesses of a liver at chronic opistorchosis; the reasons of cases; features of clinic, diagnostics, treatment. Laboratory, morphological, instrumental and clinical methods were applied. From 1 170 patients operated concerning complications chronic opistorchosis, liver abscesses are taped at 31 (2,6%) with a long and massive invasion. In 90,5% of cases they were cholangiogenes. The clinic was charactericed by a septic condition. At ultrasonography it is taped two types of the image: corresponding stages of infiltration and a parenchyma destruction. Surgical tact

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Krasilnikov, D. M., M. I. Mavrin, and B. Kh Kim. "Foreign bodies of common bile duct." Kazan medical journal 78, no. 4 (1997): 299–301. http://dx.doi.org/10.17816/kazmj81567.

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After endoscopic retrograde pancreatocholangiography, endoscopic nasobiliary drainage and removal of external drains in the postoperative period sometimes fragments of catheters remain in the common bile duct. The left foreign bodies contribute to cholangitis, pancreatitis, mechanical jaundice and concrements formation.

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Karstrup, S., T. Mygind, and V. Hennild. "Percutaneous Transhepatic External Biliary Drainage Utilizing a Pig Tail Balloon Catheter." Acta Radiologica 35, no. 5 (1994): 509–11. http://dx.doi.org/10.1177/028418519403500523.

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A 2.3-mm soft pig tail balloon catheter was developed to be used for percutaneous transhepatic biliary drainage. A small balloon (OD 10 mm) secures an optimal internal fixation and side holes behind the balloon secure drainage of the cannulated bile duct peripheral to the balloon. Successful transhepatic biliary drainage with the pig tail balloon catheter was achieved in 11 of 12 patients for a period of 3 to 67 days (median 6 days). In one patient the catheter clogged after 55 days of drainage. No case of catheter dislodgement or other complications related to the external drainage was seen.

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Brazhnikova, N. A., and V. F. Tskhay. "Strictures of biliary tracts during opisthorchosis." Bulletin of Siberian Medicine 2, no. 4 (2003): 58–66. http://dx.doi.org/10.20538/1682-0363-2003-4-58-66.

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1170 patients with chronic opisthorchosis have been operated by surgeons of Tomsk hepatology center for 35 years, 4756 patients have been treated. In 730 operated patients different strictures of biliary tracts have been revealed, strictures of cystic duct have been observed in 372 patients (51%), strictures of choledoch distal section and major duodenal papilla (MDP) of expanded character — in 124 patients (17%), stricture combination — in 205 patients (28%) and sclerosing cholangitis — in 29 (4%). The treatment of opisthorchosis strictures of biliary tracts is surgical. In case of any its lo

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Sitnikov, V. A., D. R. Ibragimova, N. R. Kasimova, and S. N. Styazhkina. "Iatrogenia as a cause of postcholecystectomy syndrome." Perm Medical Journal 37, no. 2 (2020): 41–47. http://dx.doi.org/10.17816/pmj37241-47.

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Objective. To analyze the most frequent diagnostic, tactical and technical errors of young doctors, leading to postcholecystectomy syndrome. Materials and methods. The analysis was based on the clinical material of 87 patients from the Surgical Department of Regional Clinical Hospital №1 and City Clinical Hospital №2 of Izhevsk regarding reconstructive and restorative surgeries on the biliary tract for the last 40 years (19782018). Results. The reasons, causing iatrogenic injuries of the bile ducts during cholecystectomy, are diagnostic, tactical, technical. Diagnostic errors are m

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Masudi, Faisal A., and Hussain Arish. "Antegrade biliary stenting following surgical management of choledocholithiasis." International Surgery Journal 10, no. 10 (2023): 1595–98. http://dx.doi.org/10.18203/2349-2902.isj20232980.

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Background: T-tube drainage of the common bile duct following bile duct exploration has been standard surgical practice for most of the past century. An important drawback of surgical duct exploration and clearance over ERCP is the need for prolonged external biliary drainage via T-tubes and consequently added morbidity. As such interest grew in reassessing the need for T-tube drainage after CBD Exploration. This was especially augmented by increased popularity of laparoscopic CBD exploration at the time of cholecystectomy which could provide a solution to both problems in a single sitting. Me

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Milella, Marco, Monica Salvetti, Annamaria Cerrotta, et al. "Interventional Radiology and Radiotherapy for Inoperable Cholangiocarcinoma of the Extrahepatic Bile Ducts." Tumori Journal 84, no. 4 (1998): 467–71. http://dx.doi.org/10.1177/030089169808400406.

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Aims and background To evaluate the effectiveness of external radiation therapy (ERT), alone or combined with endoluminal brachytherapy (BRT), following percutaneous transhepatic biliary drainage (PTBD) in the treatment of patients affected by inoperable cholangiocarcinoma. Methods & study design From September 1980 to June 1996, 130 jaundiced patients affected by inoperable cholangiocarcinoma were submitted to PTBD at the Division of Radiology C of the National Cancer Institute of Milan. Nineteen were excluded from the present analysis due to the short survival after PTBD (<30 days). T

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Vagianos, C., A. Polydorou, T. Karatzas, C. Vagenas, M. Stavropoulos, and J. Androulakis. "Successful Treatment of Postoperative External Biliary Fistula by Selective Nasobiliary Drainage." HPB Surgery 6, no. 2 (1992): 115–24. http://dx.doi.org/10.1155/1992/58436.

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A 25-year old man presented with a high output external biliary fistula after an operation for a giant hydatid cyst of the liver. Endoscopic sphincterotomy was inadequate to close the fistula. A nasobiliary tube was selectively inserted into the leaking hepatic duct and bile was continuously aspirated. The fistula and the residual cavity healed completely. Details of the patients' management using this alternative technique, are discussed.

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Tamm, T. I., K. A. Kramarenko, I. N. Mamontov, V. V. Nepomnyashchy, A. P. Zakharchuk, and I. Zulfigarov. "COMPLICATIONS OF TRANSPAPILLARY ENDOSCOPIC INTERVENTIONS (TEI)." Kharkiv Surgical School, no. 1 (February 20, 2020): 104–8. http://dx.doi.org/10.37699/2308-7005.1.2020.16.

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Summary. Objective — a retrospective analysis of the causes of TEI complications and the results of their treatment. Materials and methods. The long-term results of performed TEI in 2909 patients were analyzed. The most common indication for TEI was choledocholithiasis, which was found in 1873 (65.4 %) patients and stenosis of papilla was detected in 454 (15.6 %) patients. Complications arose in 112 (3.85 %) patients. 4 (0.14 %) patients died. Results. Bleeding occurred in 28 (0.96 %) patients. In 12 of 26 patients, endoscopic hemostatic manipulations were additionally performed. T

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Zaporozhchenko, B. S., K. V. Kravets, O. B. Zubkov, and I. V. Gomonyuk. "ROLE OF TRANSDERMAL AND ENDOSCOPIC TECHNIQUES IN THE TREATMENT OF PATIENTS WITH GALLSTONE DISEASE AND ITS COMPLICATIONS." Kharkiv Surgical School, no. 1 (February 20, 2020): 109–14. http://dx.doi.org/10.37699/2308-7005.1.2020.17.

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Summary. In recent years, along with the steady growth of patients with gall-stone disease (cholelithiasis), the growth of its complicated forms is also noted. Most of these patients are elderly and senile people with various concomitant diseases. They constitute the so-called risk group. Materials and methods. The present work is based on an analysis of the results of surgical treatment of 320 patients with complicated forms of cholelithiasis for the period from 2015 to 2020, who were treated at the surgical department of the Department of Surgery KNP «OOKMT» OOR Department of Surgery N

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Viktoriia, Petrushenko1 Vadym Sobko1 Dmytro Grebeniuk1 Vadym Stoika1 Iaroslav Radoha1 Marián Vidiščák2 Oleksandr Dobrovanov3*. "Management of Liver Biloma after Gunshot Thoraco-Abdominal Injury. A Case Report." International Clinical and Medical Case Reports Journal 3, no. 6 (2024): 1–26. https://doi.org/10.5281/zenodo.11517916.

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During the Russian armed aggression against Ukraine, a large number of Ukrainian civilians were injured or killed since 2022. The rate of penetrating abdominal injuries during active military action varies from 2% to 15%, the small intestine, colon, liver and intra-abdominal vessels are most often affected. Patients with gunshot abdominal injuries and liver lacerations are more likely to have specific complications such as necrosis or abscesses, bilomas or biliary leakage. Ultrasound-guided drainage is a common treatment of biloma, but persistent bile leakage requires further endoscopic or sur

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Zhang, Miao-Miao, Jie Tao, Huan-Chen Sha, et al. "Magnetic compression anastomosis to restore biliary tract continuity after obstruction following major abdominal trauma: A case report." World Journal of Gastrointestinal Surgery 16, no. 6 (2024): 1933–38. http://dx.doi.org/10.4240/wjgs.v16.i6.1933.

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BACKGROUND The combination of magnetic compression anastomosis (MCA) and endoscopy has been used to treat biliary stricture after liver transplantation. However, its use for the treatment of complex biliary obstruction after major abdominal trauma has not been reported. This case report describes the successful use of MCA for the treatment of biliary obstruction resulting from major abdominal trauma. CASE SUMMARY A 23-year-old man underwent major abdominal surgery (repair of liver rupture, right half colon resection, and ileostomy) following a car accident one year ago. The abdominal drainage

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