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[ENDOSCOPIC DIAGNOSIS AND TREATMENT OF INJURIES OF BILIARY DUCTS IN LAPAROSCOPIC OPERATIONS].
Klinichna Khirurhiia 2015 September
The results of endoscopic diagnosis and treatment of 127 patients for iatrogenic injuries of biliary ducts while laparoscopic cholecystectomy performance are adduced. Taking into account a necessity to follow principles of miniinvasiveness while performing laparoscopic cholecystectomy, it is expedient to apply miniinvasive methods for elimination of its possible complications as well. In presence of clinical signs of an acute abdomen, free liquid in abdominal cavity (in accordance to ultrasonographic investigation data), application of endoscopic methods of diagnosis and treatment of the biliary ducts iatrogenic injuries is not indicated. Rational application of miniinvasive (endoscopic and under ultrasonographic control) interventions have permitted in all the patients to achieve closure of a partly external biliary fistulas and to sanate intraabdominal foci of biliary accumulations.
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