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Ultima descărcare din IBN: 2019-12-12 18:23 |
SM ISO690:2012 FERDOHLEB, Alexandru. Tratamentul chirurgical al leziunilor şi stricturilor căilor biliare magistrale. In: Sănătate Publică, Economie şi Management în Medicină , 2014, nr. 5(56), pp. 165-170. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | |||||
Numărul 5(56) / 2014 / ISSN 1729-8687 /ISSNe 2587-3873 | |||||
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Pag. 165-170 | |||||
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During 1980-2013 year, were hospitalized 233 pacients biliary lesions and benign biliary strictures in the Clinic 1 2nd Department of Surgery of SMPU “N. Testemiţanu”. Clinical evaluation included several consecutive steps: 1) setting the ethiopatogenic diagnosis; 2) pre-operatory decompression of the biliary tree; 3) reconstructive surgical act. In case of biliary strictures, following the cut of jaundice and biliary infection, bilio-digestive derivations have been performed according to the level of the obstacle, preferring the bilio-jejunal on isolated loop in Y a la Roux. The postoperatory lethality was of 6 (2.63%) cases. The lesions of the biliary ducts have a complicated evolution, with many surgical interventions and hospital confinements. effort is needed in order to trace them timely and to prevent septic complications. In the first stage decompression of the biliary tree is performed and following the cut of the inflammatory process, bilio-digestive reconstruction is done. |
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Cuvinte-cheie surgical treatment, strictures, biliary ducts |
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