[Combined diagnostic techniques and contemporary methods of treatment of external biliary fistula]. / Kompleksnaia diagnostika i sovremennye metody lecheniia naruzhnogo zhelchnogo svishcha.

Analysis of surgical treatment results of 103 patients with the extrahepatic biliary ducts external fistula was presented. The external biliary fistula had formatted due to iatrogenic damage of biliary ducts during performance of cholecystectomy, gastric resection and echinococcectomy. Preoperatively correction of water-electrolytic balance disorders was done in all patients, as well as treatment and prophylaxis of hepatorenal insufficiency, anaerobic anti-infection measures. In all patients the reconstructive intervention was performed. Postoperative complications had occurred in 14 (13.6%) patients, mortality was 3.6%. The main cause of mortality is the sutures of anastomosis insufficiency, intoxication, hepatorenal insufficiency due to occurrence of purulent cholangitis and cholangiogenic abscess of liver.