| Abstract [eng] |
Introduction. Bile duct anastomoses are a fundamental part of hepatobiliary surgery, ensuring the continuity of bile flow following various liver and bile duct procedures. Despite their important role, bile duct anastomoses are associated with significant postoperative complications that can have a major impact on patient survival. Objective. To analyze and summarize data from the past decade on bile duct anastomoses, their complications, and treatment. Methods. A search of the scientific literature was conducted using PubMed, Medline, and Scopus databases. A total of 1862 articles reviewing the outcomes of bile duct anastomoses were identified. After applying selection criteria, 16 scientific articles remained, which were analyzed in greater detail. Results. The systematic analysis included 1606 patients. Open surgeries accounted for 79.7 %, while minimally invasive procedures accounted for 20.3 %. Among surgical anastomoses, choledochocholedochostomy was the most commonly performed— 65.4 %. The most common complication of open surgeries was bile duct stricture— 25.65 %. Of the 522 complications, invasive treatment was required in 357 cases (68.39 %). Complications were most commonly treated using endoscopic retrograde cholangiopancreatography. The incidence of treatment-related complications was 16.81 %. The most common was acute pancreatitis, at 3.08 %. Among minimally invasive endoscopic techniques, endoscopic ultrasound-guided choledochoduodenostomy predominates—84.26 %. The most common complication of these methods is stent occlusion—4.66 %. The most popular stent is the metal stent that closes the lumen, 49.14 %. Conclusions. A review of the literature showed that open surgical techniques remain the most commonly performed procedures. The most common technique is choledochocholedostomy. Minimally invasive surgeries are not common in the treatment of biliary tract diseases, but have become a highly effective alternative for treating biliary tract complications. The main alternatives are endoscopic ultrasound-guided bile drainage techniques. The most common complication is bile duct stricture. Complications are treated using endoscopic retrograde cholangiopancreatography. |
