Minimally invasive interventions in the treatment of patients with cholelithiasis complicated by obstructive jaundice

  • Yevgen Khvorostov MD, PhD, Full Professor, Head of department surgical diseases, V. N. Karazin Kharkiv National University, School of Medicine https://orcid.org/0000-0001-7167-2478
  • Olexii Tsivenko MD, PhD, Full Professor, Department of Surgical Diseases, V. N. Karazin Kharkiv National University, School of Medicine https://orcid.org/0000-0003-0839-9768
  • Yuriy Zakharchenko MD, PhD, Associate professor, Department of surgical diseases, V. N. Karazin Kharkiv National University, School of Medicine https://orcid.org/0000-0002-7577-5068
  • Sergii Bychkov MD, PhD, Full Professor, Department of Surgical Diseases, V. N. Karazin Kharkiv National University, School of Medicine https://orcid.org/0000-0001-5413-3536
  • Roman Hrynov MD, PhD, Associate professor, Department of surgical diseases, V. N. Karazin Kharkiv National University, School of Medicine https://orcid.org/0000-0001-6527-4238
Keywords: minimally invasive interventions, stage treatment, obstructive jaundice, endoscopic papillosphincterotomy, endoscopic retrograde cholangiopancreaticography, laparoscopic cholecystectomy

Abstract

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.

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Author Biographies

Yevgen Khvorostov, MD, PhD, Full Professor, Head of department surgical diseases, V. N. Karazin Kharkiv National University, School of Medicine

9, Igora Muratova str., Kharkiv, Ukraine, 61052

Olexii Tsivenko, MD, PhD, Full Professor, Department of Surgical Diseases, V. N. Karazin Kharkiv National University, School of Medicine

9, Igora Muratova str., Kharkiv, Ukraine, 61052

Yuriy Zakharchenko, MD, PhD, Associate professor, Department of surgical diseases, V. N. Karazin Kharkiv National University, School of Medicine

9, Igora Muratova str., Kharkiv, Ukraine, 61052

Sergii Bychkov, MD, PhD, Full Professor, Department of Surgical Diseases, V. N. Karazin Kharkiv National University, School of Medicine

9, Igora Muratova str., Kharkiv, Ukraine, 61052

Roman Hrynov, MD, PhD, Associate professor, Department of surgical diseases, V. N. Karazin Kharkiv National University, School of Medicine

9, Igora Muratova str., Kharkiv, Ukraine, 61052

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Published
2020-09-08
How to Cite
Khvorostov, Y., Tsivenko, O., Zakharchenko, Y., Bychkov, S., & Hrynov, R. (2020). Minimally invasive interventions in the treatment of patients with cholelithiasis complicated by obstructive jaundice. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine", (39), 40-48. https://doi.org/10.26565/2313-6693-2020-39-04