A.A. KOROLEVA, O.I. ANDREYTSEVA, D.A. IONKIN, V.A. VISHNEVSKIY

Institute for Surgery named after A.B. Vishnevskiy, 27 Bolshaya Serpukhovskaya Str., Moscow, Russian Federation, 117997

Koroleva A.A. ― postgraduate student of the Department of Abdominal Surgery №2, tel. +7-985-490-74-38, e-mail: korolevaanya2015@ya.ru

Andreytseva O.I. ― Cand. Med. Sc., Senior Researcher of the Department of Abdominal Surgery №2, tel. (499) 236-53-42, e-mail: Andreytseva@ixv.ru

Ionkin D.A. ― Cand. Med. Sc., Senior Researcher of the Department of Abdominal Surgery №2, tel. +7-916-863-45-34, e-mail: ionkin@ixv.comcor.ru

Vishnevskiy V.A. ― D. Med. Sc., Professor, Honored Researcher of the RF, Head of the Department of Abdominal Surgery №2, tel. (499) 237-80-54, e-mail: VishnevskyVA@ixv.ru

The reasons were analyzed for unsatisfactory remote results of palliative operations of cyst transformations of biliary ducts (21 patients) and 2 patients after extensive excision of hepatico-choledochal cysts. Palliative operations like cytodigestive anastomoses do not remove the cyst-transformed ducts, and the pathogenic factors of the disease are not eliminated (reflux, chronic inflammation, choleostasis, malignization), while the pre-operative clinic manifestations (recurrent cholangitis, jaundice, etc) preserve, which determines the necessity for the recurrent operation with maximal excision of the transformed duct and cyst walls and forming the wide hepaticoenteroanamostosis by Rue. After the extensive excision of hepatico-choledochal cysts a stricture of hepaticoenteroanamostosis may sometimes develop, due to complicated anamostosing and breaches of precision technique. Recurrent operations in such patients include reconstruction of the anamostosis.

Key words: cyst transformations of biliary ducts, recurrent operations, surgical treatment.

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