EXPERIENCE
OF TREATING BILIARY COMPLICATIONS IN CHILDREN AND YOUNG ADULTS
Arynov NM, Shirtaev BK, Kojabergenov AB, Ibrahim M
Syzganov Scientific Center of Surgery,
Almaty, Kazakhstan
The objective of our research is to share the
experience we have in treating complicated biliary system in children and
young adults. In our clinic from 1995 to year 2000 we admitted 18 children
with complicated biliary system. 11 of them with mechanical jaundice in
echinococcose of the liver, 3- after surgical correction due to cystic
transformation of common bile duct, 2-post traumatic lesion of the bile
ducts (1-iatrogenically, 1-post traumatic rupture of the supraduodenal part
of the common bile duct due to blunt abdominal injury), 2- secondary to
tumor of the pancreas. Patients with echinococcose of the liver,
echinococcectomy was done to them, the resulting cavity was closed and the
bile fistula sutured. In 6 cases cholecystectomy was additionally performed
with drainage of the common bile duct T- tube. Patients with trauma and
cystic transformation of the common bile duct hepaticojujenostomy with
transhepatic drainage of the bile ducts-Saipol procedure was done. A
patient with adenocarcinoma of the pancreas that can not be operated we did
cholecystoduodenostomy side to side anastomosis. To a ten years old patient
with cystoadenoma of the head and body of the pancreas pancreatoduodenal
resection was done. Post operatively feature of bile fistula formation was
seen in one patient with satisfactory end. Therefore, different reasons
leading to complications of biliary system are relatively rare in children
which requires extra care of the patients in specialized surgical units.