BILIARY COMPLICATIONS AFTER HEPATECTOMY WITH OPISTHORCHIASIS INVASION
https://doi.org/10.34822/2304-9448-2021-4-48-54
Abstract
The study aims to find the patterns of biliary complications formation following hepatectomy in patients with parasitic invasion, Opisthorchis felineus, to analyze the efficacy of application of bile ducts drainage as a way of preventive measures for the aforementioned complications. Material and methods. The retrospective analysis of disease records of 241 patients, who got surgical treatment with different hepatectomy in the District Center of Liver and Pancreas Gland Surgery for the period of 2008–2019, has been carried out. 134 clinical cases were selected for the study and divided into 2 groups. The first group included 37 patients with the opisthorchiasis invasion, the second group included 97 patients without diagnosed opisthorchiasis invasion. External drainage of bile ducts has been used as an option of temporary biliary decompression after hepatectomy in patients with signs of parasite cholangitis. Results. The statistically significant increase of risk of the complication in patients with opisthorchiasis invasion has been substantiated by the bile leakage examined in 22.4 % (30) patients who underwent surgery.
About the Authors
D. P. Kislitsin
Department of the Healthcare of Khanty-Mansy Autonomous Okrug – Ugra;
Khanty-Mansiysk State Medical Academy;
District Clinical Hospital, Khanty-Mansiysk
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Chief External Surgeon;
Head, Department of Hospital Surgery;
Head, Surgery Department № 1
I. G. Shakirov
Khanty-Mansiysk State Medical Academy;
District Clinical Hospital, Khanty-Mansiysk
Russian Federation
Russian Federation
Medical Resident in Surgery;
Junior Medical Officer, Surgeon, Surgery Department № 2
E-mail: shackirov.tramp2011@yandex.ru
N. A. Kolmachevsky
District Clinical Hospital, Khanty-Mansiysk
Russian Federation
Russian Federation
Highest Category Surgeon, Senior Medical Resident, Surgery Department № 1
E-mail: virpo3@gmail.com
A. A. Chernov
District Clinical Hospital;
Khanty-Mansiysk State Medical Academy, Khanty-Mansiysk
Russian Federation
Russian Federation
Surgeon, Senior Medical Resident, Surgery Department № 1;
Assistant Professor, Department of Hospital Surgery
E-mail: agmafil@yandex.ru
V. V. Bukir
District Clinical Hospital, Khanty-Mansiysk
Russian Federation
Russian Federation
First Category Surgeon, Medical Resident, Surgery Department № 1
E-mail: borodagmx@gmail.com
References
1. Martin A. N., Narayanan S., Turrentine F. E., Bauer T. W., Adams R. B., Stukenborg G. J., Zaydfudim V. M. Clinical Factors and Postoperative Impact of Bile Leak After Liver Resection // J Gastrointest Surg. 2018. Vol. 22. P. 661–667. DOI 10.1007/s11605-017-3650-4.
2. Sakamoto K., Tamesa T., Yukio T., Tokuhisa Y., Maeda Y., Oka M. Risk Factors and Managements of Bile Leakage After Hepatectomy // World J Surg. 2016. Vol. 40. P. 182–189. DOI 10.1007/s00268-015-3156-8.
3. Koch M., Garden O. J., Padbury R. et al. Bile Leakage After Hepatobiliary and Pancreatic Surgery: A Definition and Grading of Severity by the International Study Group of Liver Surgery // Surgery. 2011. Vol. 149, Is. 5. P. 680–688. DOI 10.1016/j.surg.2010.12.002.
4. Kajiwara T., Midorikawa Y., Yamazaki S., Higaki T., Nakayama H., Moriguchi M., Takayama T. Clinical Score to Predict the Risk of Bile Leakage After Liver Resection // BMC Surg. 2016. Vol. 16. P. 30. DOI 10.1186/s12893-016-0147-0.
5. Donadon M., Costa G., Cimino M., Procopio F., Del Fabbro D., Palmisano A., Torzilli G. Diagnosis and Management of Bile Leaks After Hepatectomy: Results of a Prospective Analysis of 475 Hepatectomies // World J Surg. 2016. Vol. 40. P. 172–181. DOI 10.1007/s00268-015-3143-0.
6. Тимошенкова А. В., Катанов Е. С., Долгов О. Ю., Прокопьев С. А. Факторы риска развития желчеистечения после резекции печени // Современ. проблемы науки и образования. 2018. № 2. URL: http://www.science-education.ru/ru/article/view?id=27553 (дата обращения:
7. 09.2021).
8. Котельникова Л. П., Гребенкина С. В., Трушников Д. В. Билиарные осложнения после резекции печени // Эксперимент. и клинич. гастроэнтерология. 2018. № 156 (8). С. 99–106.
9. Yamashita Y, Hamatsu T, Rikimaru T, Tanaka S, Shirabe K, Shimada M., Sugimachi K. Bile Leakage After Hepatic Resection // Ann Surg. 2001. Vol. 233, Is. 1. P. 45–50.
10. Yurlova N. I., Yadrenkina E. N., Rastyazhenko N. M., Serbina E. А., Glupov V. V. Opisthorchiasis in Western Siberia: Epidemiology and Distribution in Human, Fish, Snail, and Animal Populations // Parasitol Int. 2017. Vol. 6, Is. 4. P. 355–364. DOI 10.1016/j.parint.2016.11.017.
11. Sripa B., Tangkawattana S., Brindley P. J. Update on Pathogenesis of Opisthorchiasis and Cholangiocarcinoma // Adv Parasitol. 2018. Vol. 102. P. 97–113. DOI 10.1016/ bs.apar.2018.10.001.
12. Poon R. T. P. Current Techniques of Liver Transection // HPB. 2007. Vol. 9, Is. 3. P. 166–173. DOI 10.1080/13651820701216182.
13. Hotta T., Kobayashi Y., Taniguchi K., Johata K., Sahara M., Naka T., Maeda T., Tanimura H. Postoperative Evaluation of C-Tube Drainage After Hepatectomy // Hepatogastroenterology. 2003. Vol. 50. P. 485–490.
14. Kishi Y., Shimada K., Nara S., Esaki M., Kosuge T. The Type of Preoperative Biliary Drainage Predicts Short-Term Outcome After Major Hepatectomy // Langenbecks Arch Surg. 2016. Vol. 401, Is. 4. P. 503–511. DOI 10.1007/s00423-016-1427-y.
15. Strücker B., Stockmann M., Denecke T., Neuhaus P., Seehofer D. Intraoperative Placement of External Biliary Drains for Prevention and Treatment of Bile Leaks After Extended Liver Resection without Bilioenteric Anastomosis // World J Surg. 2013. Vol. 37. P. 2629–2634. DOI 10.1007/ s00268-013-2161-z.
16. Nakai T., Kawabe T., Shiraishi O., Shiozaki H. Prevention of Bile Leak After Major Hepatectomy // Hepatogastroenterology. 2004. Vol. 51, Is. 59. P. 1286–1288.
Review
For citations:
Kislitsin D.P., Shakirov I.G., Kolmachevsky N.A., Chernov A.A., Bukir V.V. BILIARY COMPLICATIONS AFTER HEPATECTOMY WITH OPISTHORCHIASIS INVASION. Vestnik SurGU. Meditsina. 2021;(4 (50)):48-54. (In Russ.) https://doi.org/10.34822/2304-9448-2021-4-48-54
Views:
126
Email this article 
