A method of prevention of transient biliary hypertension after bile duct surgery


  • O.A. Iarmak
Keywords: biliary hypertension, external drainage of the common bile duct, residual pressure, daily bile output.

Abstract

Average levels of residual pressure in the common bile duct and daily output of bile through the external drainage was investigated for 1-6 consecutive days after a one-stage open or minimally invasive treatment for cholecystocholedocholithiasis (n = 71), using choledochotomy or transcystic revision of the common bile duct. In the I (main) group (n = 41), besides the choledochal drainage, intraoperative catheterization of the round ligament of the liver was performed with intraoperative and subsequent prolonged infusion of the mixture of Lidocaine 2% and Dextran 10% solutions with additional injections of proposed drugs combination. In the study group patients in the first 5 days were determined to have significantly lower average residual pressure in the common bile duct and daily bile output through the external drainage.

Published
2017-09-29
How to Cite
Iarmak, O. (2017). A method of prevention of transient biliary hypertension after bile duct surgery. Reports of Vinnytsia National Medical University, 19(1), 145-148. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/188