Ivanitskiy A. Surgical management of bile duct injuries during laparoscopic cholecystectomy depending on terms of diagnosis

In the study the outcomes of treatment of 98 patients with bile duct injuries acquired during laparoscopic cholecystectomy were analyzed. It was established that the possibility of one-stage correction depends significantly on the time of the diagnosis. The basic factors affecting immediate and late results of the treatment are: 1) the wrong choice of method of surgery; 2) reconstructive surgery performed in the setting of peritonitis; 3) lack of the surgeon's sufficient experience in operations on the bile ducts. Therapeutic and diagnostic algorithm was designed in which non-invasive methods of bile duct investigation were preferably researched, and surgical strategy is based on a multidisciplinary approach with rational use of the mini-invasive and surgical methods.