[Treatment of extrahepatic bile ducts injuries due to laparoscopic cholecystectomy]

The department of hepatic surgery of I.M. Sechenov Moscow Medical Academy has gained experience of treatment of 25 patients with injuries of bile ducts inficted in laparoscopic cholecystectomy (LCE). All the patients underwent LCE in other hospitals. 4 patients were hospitalized with recent injuries (within 24 hours after injury) and 21--later. Injuries of the duct in LCE characterized by early clinical manifestation, injury in proximal portion of hepatic duct, technical difficulties of anastomosis creation during the first operation due to thin-walled duct of small diameter. Reconstructive operations yielded good results in 22 patients. Recurrent strictures were revealed in 3 patients who required repeated intervention. There were no lethal outcomes.