Modern aspects of low-invasive treatment of hemobilia. Literature review

Автор: Fomin V.S., Stepanov D.V., Kopytin I.A.

Журнал: Московский хирургический журнал @mossj

Рубрика: Оригинальные статьи

Статья в выпуске: 2 (72), 2020 года.

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The aim of the research: the aim of the research was to describe modern minimally invasive technologies for the diagnosis and treatment of such a formidable complication in biliary surgery as hemobilia. Hemobilia is a bleeding into the lumen of the biliary tract, due to the presence of a communication between the blood vessel (more often - the artery) and the biliary duct. Despite certain difficulties in timely diagnosis, patients require mandatory, with rare exceptions, invasive treatment in order to prevent possible relapses and complications. The doctor should, if possible, limit himself to minimally invasive intervention to achieve optimal curation and patient recovery results in the shortest possible time.Materials and methods: various open-access available resources such as pubmed, elibrary, google scholar were analyzed on request of hemobilia, minimally invasive treatment. The results of the study: there was given a brief description of the advantages, as well as possible disadvantages of the available types of minimally invasive curation of hemobilia.Conclusion: today, transcatheter arterial embolization should be considered as the generally accepted “gold standard” in the supervision of patients with bleeding in the biliary, however, there are a whole host of alternative methods, both for additional therapy and for the main tactics in treating patients in non-standard clinical cases in the arsenal of minimally invasive intervention surgery. Such a variety of minimally invasive technologies in the supervision of this pathology allows us to achieve positive treatment outcomes with minimal access trauma, in any variant of the hepatobiliary system anatomy, as well as in the case of critical complications.

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Hemobilia, minimally invasive interventional surgery, relapse prevention, transcatheter arterial embolization

Короткий адрес: https://sciup.org/142226431

IDR: 142226431   |   DOI: 10.17238/issn2072-3180.2020.2.84-89

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