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616.361-007.271-089.844 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1819) |
![]() PULBERE, Valeria. Multifactorial and complex approach to surgical treatment of benign biliary strictures. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 324. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.361-007.271-089.844 | ||||||
Pag. 324-324 | ||||||
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Background. Benign biliary strictures are a serious complication, and surgical treatment of patients with biliary lesions and benign biliary strictures is a matter of current discussion, which has led to the multifactorial approach of interdisciplinary research. Objective of the study. The objective of the study was to systematize the experience of treating benign biliary strictures, analyzing complex outcomes. Materials and methods. The study analyzed the results of 203 patients who had undergone biliodigestive reconstructions. Patients in the study were analyzed according to local anatomical features. Imaging examinations (e.g. ultrasonography) showed conclusive images of the biliary tree. Results. Reconstructive treatment of benign biliary strictures, classified according to the Bismuth classification, included the following surgical techniques: choledocojejunostomy in 86 (42.4%) cases of type I and II strictures; hepaticojejunostomy to 102 (50,2%) patients with type III strictures, and in 15(7.4%) cases of type IV strictures bihepaticojejunostomy was performed. There were determined the following remote results based on the clinical and evolutive classification: very good / gr. I – in 123 (60.6 ± 4.41%) cases, good / gr. II in 39 (19.2 ± 6.31%) cases, relative satisfactory / gr. III – 18 (8,9 ± 6,91%) cases and unsatisfactory / gr. IV in 23 (11.3 ± 6.75%) cases. Conclusions. The surgery of election in biliary strictures is hepaticojejunostomy. Remote outcome analysis demonstrated the clinical effectiveness of reconstructive procedures performed in 88.67% of observations. |
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Cuvinte-cheie benign biliary strictures, hepaticojejunostomy, stricturi benigne biliare, hepaticojejunostomie |
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