CLASSIFICATION OF IATROGENIC INJURIES OF EXTRAHEPATIC BILE DUCTS (LITERATURE REVIEW)

Dolakov I., Gezgieva R.

The article presents a review of the literature devoted to one of the important problems of modern biliary surgery - "fresh" iatrogenic trauma of the main bile ducts. Classification and diagnostics both isolated and combined injury of the extrahepatic bile ducts and vessels of the hepatoduodenal ligament, significantly affecting the result of their surgical treatment are presented in details. The urgency of this problem is also due to the increase in patients with cholelithiasis respectively the number of performed cholecystectomies increases especially laparoscopic and the frequency of iatrogenic damage to the bile ducts remains high for a long time and tends to increase. The injury of the LC is accompanied by a high level of complications, mortality and unsatisfactory long-term results condemning patients to long-term multi-stage surgical treatment.

Keywords:damage to the bile ducts, cholecystectomy, extrahepatic bile ducts