Possibilities of permanent magnets application in treatment of postoperative biliary complications in the abdominal oncology
Abstract The purpose of this work is to inform about the possibility of using specially designed magnetic elements to create a bypass biliodigestive and seamless inter-intestinal anastomoses in the complex treatment of postoperative biliary complications and an outer enteric fistula in cancer patients. This less traumatic operations used in the treatment of postoperative complications in 9 patients aged 12 to 75 years with a high degree of anesthetic risk. The cause of jaundice, which developed in the postoperative period were: injury of the common bile or aberrant ducts, cicatricial stricture surgical hepatoenteric – anastomoses, sclerosing retroperitoneal tissue with compression of the common bile duct from the outside after suffering pancreatic necrosis and high-dose chemotherapy lymphoma. Spontaneously developed outer enteric fistula is a consequence of postoperative subhepatic abscess and multiple relaparotomy the patient after gastrectomy and splenectomy. Used the original method of implantation of a pair of magnets under roentgenoendoscopic control. In 4 cases the compression biliodigestive anastomosis was an intermediate stage of treatment due to progressive scarring of the fistula and seamless finished transhepatic stenting with the use of the nitinol stent. In the remaining 5 cases the compression anastomoses were the final step in the treatment of biliary hypertension and the method of closure of intestinal fistula.
Keywords:liver resection, biliary complications, postoperative stricture of the anastomo-ses, restoration of internal bile outflow, magnetic elements, compression bypasses anastomoses
Clin. Experiment. Surg. Petrovsky J. 2015. № 4. Р. 35–52.
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