Improvement of surgical treatment of intraoperative injuries of magistral bile ducts

The results of surgical treatment of 103 patients with intraoperative magistral bile ducts injuries have been observed. Roux-en-Y hepaticojejunostomy was the main operation in complete extrahepatic bile ducts transaction and excision; it had been performed in 64 patients with following good remote results (95.3%). Restorative operation was indicated only in partial injury of the duct. Formation of bile-biliary anastomosis (BBA) in complete transaction of the duct in all cases resulted in stricture. Hepaticoduodenostomy also led to negative treatment results. Complications in the near postoperative period made 22.3% and in the remote one – 35.9%. Repeated operative interventions were performed in 32.3% of patients, lethal outcome made 5.8%.