Open AccessMinimally invasive interventions in the treatment of patients with cholelithiasis complicated by obstructive jaundice
Author(s) -
Yevgen Khvorostov,
О. І. Цівенко,
Yuriy Zakharchenko,
Sergii Bychkov,
R. N. Hrynov
Publication year - 2020
Publication title -
the journal of v.n. karazin kharkiv national university. series "medicine"/the journal of v.n. karazin kharkiv national university. series "medicine"
Language(s) - English
Resource type - Journals
eISSN - 2313-6693
pISSN - 2313-2396
DOI - 10.26565/2313-6693-2020-39-04
Subject(s) - medicine , obstructive jaundice , endoscopic retrograde cholangiopancreatography , common bile duct , stage (stratigraphy) , surgery , cholecystectomy , bile duct , endoscopic treatment , jaundice , gallbladder , laparoscopic cholecystectomy , general surgery , endoscopy , radiology , pancreatitis , paleontology , biology
One of the most threatening complications of cholelithiasis (cholelithiasis) is obstructive jaundice (MF), which leads to the development of hepatic-renal failure. The results of surgical treatment of 386 patients were analyzed for various forms of cholelithiasis complicated by breast. The use of a combination of ultrasound, endoscopic, and radiation studies in the diagnostic program to visualize the cause of the mammary gland against the background of the complicated course of the cholelithiasis made it possible in almost 100 % of cases to make a correct diagnosis and conduct a staged minimally invasive surgical treatment: stage I included endoscopic retrograde cholangiopancreatography, papillosphincterotomy with choledocholithotraction, debridement and nasobiliary drainage of the common bile duct; at the II stage, 83,94 % of patients underwent laparoscopic cholecystectomy. The tactics of widespread use of a combination of highly informative diagnostic methods and staged minimally invasive treatment is characterized by high efficiency and good results.