METHODS OF MINIMALLY INVASIVE DECOMPRESSION OF THE BILIARY TRACT WITH MECHANICAL JAUNDICE
https://doi.org/10.24884/0042-4625-2018-177-1-74-77
Abstract
OBJECTIVE. The aim of the study is to improve the results of treatment of patients with mechanical jaundice. MATERIAL AND METHODS. The results of treatment of 350 patients with mechanical jaundice of benign genesis were analyzed. The causes of this disease in 230 (68.6 %) cases were choledocholithiasis, in 75 (21.4 %) cases were cicatrical narrowing of the large papilla of the duodenum (n = 50), in 45 cases were the formed biliodigestive anastomoses (n=25) and chronic pancreatitis (12.8 %). RESULTS. To eliminate mechanical jaundice, 154 (44 %) patients underwent various percutaneous decompressive echo-controlled interventions under the ultrasound control in terms of their nature and volume. In addition, endoscopic transpapillary interventions were performed in 196 (56 %) observations. various postoperative complications were noted after performing percutaneous decompressive echo-control interventions under ultrasound in 14 (4 %) observations, and after endoscopic transpapillary interventions in 21 (6 %) cases. CONCLUSION. Minimally invasive endoscopic and echo-controlled interventions as the first stage of surgical treatment are effective methods of treatment of patients with mechanical jaundice.
About the Authors
K. M. Kurbonov
Tajik state medical university named after Abuali ibni Sino, Dushanbe
Tajikistan
Tajikistan
K. R. Nazirboev
Tajik state medical university named after Abuali ibni Sino, Dushanbe
Tajikistan
Tajikistan
References
1. Бебуришвили А. Г. Эволюция подходов к хирургическому лечению осложненного холецистита // Хирургия. 2005. № 1. С. 43–47. [Beburishvili A. G. Evolutsiya podkhodov khirurgichescomu lecheniyu oslojnennogo choletsistita // Кhirurgiya. 2005. № 1. P. 43–47].
2. Гальперин Э. И., Момунова О. Н. Классификация тяжести механической желтухи // Хир. им. Н. И. Пирогова. 2014. № 1. С. 5–9. [Galperin E. I., Momunova O. N. Classificatsiya tyajesti mechanichescoy jeltuкhi // Кhirurgiya imeni N. I. Piragov. 2014. № 1. Р. 5–9].
3. Гальперин Э. И. Механическая желтуха, состояние «мнимой стабильности», последствия «второго удара», принципы лечения // Анн. хир. гепатол. 2011. № 3. С. 16–25. [Galperin E. I. Mechanichescaya jeltuкha, sostoyanie «mnimoy stabilnosti», posledstviya «vtorogo udara», printsipi lecheniya // Annali кhirurgichescoy hepatologii. 2011. № 3. P. 16–25].
4. Григорьева И. Н., Никитин Ю. П. Распространенность желчнокаменной болезни в различных регионах // Клин. мед. 2007. № 9. С. 27–30. [Grigorieva I. N., Nikitin Yu. P. Rasprostranennost jelchnecamennoy bolezni v razlichnikh regionakh // Clinichescaya meditsina. 2007. № 9. Р. 27–30].
5. Майоров М. М., Дряженков И. Г. Механическая желтуха калькулезной этиологии : патогенез, осложнения и лечебная тактика // Клин. мед. 2012. № 5. С. 12–16. [Mayorov M. M., Dryajenkov I. G. Mechanichescaya jeltuкha, calculyeznoy etiologii : patogenez, oslojneniya i lechebnaya tactica // Clinichescaya meditsina. 2012. № 5. P. 12–16].
6. Старосек В. Н., Хилько С. С., Влахов А. К. Современные тенденции хирургического лечения больных с обтурационной желтухой, осложненной печёночной недостаточностью // Клин. хир. 2009. № 4. С. 15–18. [Starosek V. N., Khilko S. S., Vlakhov A. K. Sovremennie tendensii khirurgichescogo lecheniya bolnikh s obturatsionnoy jeltukhi, oslojnennoy pechenochnoy nedostatochnostyu // Clinichescaya кhirurgiya. 2009. № 4. Р. 15–18].
7. Papi C. T., Catarci M., Ambrosio L. D. Timing of cholecystectomy fo acute calculous cholecystitis: A metaanalysis // Am. J. Gastroenterol. 2004. Vol. 99. P. 145–147.
8. Samardzic J., Latic F., Kraljik D. Treatment of common bile duct stones, is the role of ERCP changed in era of minimally invasive surgery? // Med. Arh. 2010. № 64 (3). Р. 187–188.
Review
For citations:
Kurbonov K.M., Nazirboev K.R. METHODS OF MINIMALLY INVASIVE DECOMPRESSION OF THE BILIARY TRACT WITH MECHANICAL JAUNDICE. Grekov's Bulletin of Surgery. 2018;177(1):74-77. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-1-74-77
Views:
831
Email this article 