Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko151410.18499/2070-478X-2021-14-3-228-236Review of literatureОбзор литературыUnknownPost-Resection Biliar ComplicationsПострезекционные билиарные осложненияhttps://orcid.org/0000-0003-3839-0879BotiralievAziz ShukurzhonovichБотиралиевАзиз Шукуржонович
Russian Federation

applicant for the Ph.D. degree in the specialty "surgery " of A.V. Vishnevsky National Medical Research Center of Surgery

соискатель ученой степени кандидата медицинских наук по специальности «хирургия» ФГБУ «Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского» Минздрава России

azizhanshukur@mail.ruhttps://orcid.org/0000-0002-5793-5160StepanovaYulia AlexandrovnaСтепановаЮлия Александровна
Russian Federation

M.D., professor, Academic Secretary of A.V. Vishnevsky National Medical Research Center of Surgery

д.м.н., профессор, Ученый секретарь ФГБУ «Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского» Минздрава России

stepanovaua@mail.ruhttps://orcid.org/0000-0001-5039-4958VishnevskyVladimir AleksandrovichВишневскийВладимир Александрович
Russian Federation

M.D., professor, Advisor of Surgery to the Director of A.V. Vishnevsky National Medical Research Center of Surgery

д.м.н., профессор, Советник директора по хирургии ФГБУ «Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского» Минздрава России

vishnevskogo@ixv.ruhttps://orcid.org/0000-0002-0204-8337ZhaoAlexey VladimirovichЧжаоАлексей Владимирович
Russian Federation

д.м.н., профессор, заведующий Онкологическим отделением хирургических методов лечения и противоопухолевой лекарственной терапии ФГБУ «НМИЦ хирургии им. А.В. Вишневского» Минздрава России.

chzhao@ixv.ruA.V. Vishnevsky National Medical Research Center of SurgeryНациональный медицинский исследовательский центр хирургии им. А.В. ВишневскогоV.A. Vishnevsky National Medical Research Center of Surgery.ФГБУ «Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского» Минздрава России2008202114322823623062021Copyright ©; 2021, Voronezh N.N. Burdenko State Medical UniversityCopyright ©; 2021, ФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава России2021Voronezh N.N. Burdenko State Medical UniversityФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава Россииhttps://vestnik-surgery.com/journal/about/editorialPolicieshttps://vestnik-surgery.com/journal/article/view/1514

As a result of the analysis of modern Russian and foreign literature, it was found that in the structure of postoperative complications after liver resections, biliary complications are the leading ones today. The main risk factors for the development of biliary complications and predictors of prognosis were determined at the different stages (preoperative, during the operation and postoperative period). The necessity to apply a complex of instrumental investigation methods in the postoperative period for early detection of bile leakage, clarification of its causes and forms of manifestation is determined; their importance for choosing a method of elimination is emphasized. The ways of improving the results of liver resections due to the prevention and effective elimination of bile leakage are outlined.Possibilities of prognosis of biliar complications after liver resections were analyzed. The available assessment systems can be considered uninformative, which demands development and implementation of more modern and more effective programs for predicting biliary complications after liver resections.

В результате анализа современной отечественной и зарубежной литературы установлено, что в структуре послеоперационных осложнений после резекций печени ведущими на сегодняшний день является билиарные осложнения. Определены основные факторы риска развития билиарных осложнений и предикторы прогнозана дооперационном этапе, во время операции и в послеоперационном периодах. Обозначена необходимость использования комплекса инструментальных методов исследования в послеоперационном периоде для раннего выявления желчеистечения, выяснения его причин и форм проявления, подчеркнуто их значимость для выбора способа ликвидации. Обозначены пути улучшения результатов резекций печени за счет профилактики и эффективной ликвидации желчеистечений.

Проанализированы возможности прогноза БО после резекций печени. Имеющиеся системы оценки можно считать малоинформативными, что указывает на необходимости разработки и внедрения более современных и более эффективных программ прогнозирования билиарных осложнений после резекций печени.

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