[Results of reconstructive surgery for bile duct injury]

The results of the treatment of 51 patients operated on for iatrogenic bile duct injuries are presented. 65 reconstructive operations were performed. In 92% of the cases the injury was causes during cholecystectomy, in 8% - it happened during gastric resection. According to Bismuth's classification, 2 patient demonstrated type I injury, 13 - type II, 21 - type III, 10 - type IV, and 3 - type V. The choice of reconstructive method depended on the type of injury and the local situation. Consequently 37 hepatic-jejunostomies were performed (classic method - 17x, the mucosal-graft - 18x, Allen's method modified by Galperin - 1x, Hepp-Couinaud's - 1x), 8 hepatic-duodenostomies, 2 - Longmire-Sanford method, 4 choledocho-duodenostomies. Recurrence of structure in anastomosis place were noted after 11 procedures, but no one were observed after mucosal-graft reconstruction.