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  • Title: [Drainage variants in reconstructive and restorative operations for high strictures and injuries of the biliary tract].
    Author: Toskin KD, Starosek VN, Grinchesku AE.
    Journal: Khirurgiia (Mosk); 1990 Oct; (10):75-8. PubMed ID: 2283757.
    Abstract:
    The article deals with the author's views on certain aspects of the problem of reconstructive and restorative surgery of the biliary tract. Original methods are suggested for external drainage (through the inferior surface of the right hepatic lobe in the region of the gallbladder seat and through the round ligament of the liver) in formation of ++hepato-hepatico- and hepaticojejunoanastomoses. Problems of operative techniques in formation of the anastomoses are discussed. Thirty-nine operations have been carried out in the clinic in the recent decade in high strictures and traumas of the biliary tract, 25 were reconstructive and 14 restorative. Postoperative mortality was 28.2% (11 patients). Intoxication and hepatargia associated with cholangiolytic abscesses of the liver were the main causes of death.
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