Central Asian Journal of Medicine


Objective. 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.

First Page


Last Page



1. Aduna M. Bile duct leaks after laparoscopic cholecystectomy: value of contrast-enhanced MRCP // J. Radiol. -2007.-Vоl. 100. №2. -P. 61-69. 2. Carvalho L. G., Gilberto F. et al. Type IV Mirizzi Syndrome Treated with Hepaticoduodenostomy and Minilaparoscopy // Surg Endosc. - 2016. - Vol. 30. - P. 401– 403. 3. Emilio Itala. Atlas of abdominal surgery: V.1. Surgery of liver, bile ducts, pancreas and portal system: translation from English of prof. Yu.B. Martov/ М.: Med. lit., -2006. -Vol. 10. -P. 134-182. 4. Gibor U., Perry Z.H., Netz U. et al. CA 19-9 in the presence of obstructive jaundice due to Mirizzi syndrome // Isr Med Assoc J. - 2015. - Vol.17. - P.60-61. 5. Galperin E.I., Chevokin А.Yu. The factors, determining the choice of operation in «fresh» damages of main bile ducts. // Annals of surgical hepatology, -2009. –Vol. 14. -№ 1. -P. 49-56. 6. Kumar A., Ganesan S.l., Anand P. et al. Mirizzi’s syndrome: lessons learnt from 169 patients at a single center // Korean J Hepatobiliary Pancreat Surg. -2016. - Vol. 20. - P.17-22. 7. Mallikarjuna U., Ashraf R. Systematic Review of Mirizzi's Syndrome's Management // JOP. J Pancreas (Online). - 2017. - Vol. 18(1). - P.1-8. 8. Marinov L. The Mirizzi Syndrome –Major Cause for Biliary Duct Injury during Laparoscopic Cholecystectomy // Biomed J Sci & Tech Res. - 2017. - Vol. 1. - P. 2214-2215. 9. Nichitaylo М.Е., Skums А.V. Surgical treatment of damages and strictures of bile ducts after cholecystectomy. // Almanac of surgery institute named after A.V. Vishnevskiy. -2008. -Vol. 3. -№3. -P. 71-76. 10. Olisov О.D. Post-traumatic strictures of bile ducts. Diagnostics, treatment, results: dissertation ... candidate of philosophy science. Moscow, -2006. - P. 135-136.



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.