Minimally invasive interventions in the treatment of patients with cholelithiasis complicated by obstructive jaundice
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.
Downloads
References
Datsenko, B. M., Tamm, T. I., Borysenko, V. B., Kramarenko, K. A. (2013). Hepatic dysfunction correction in patients, suffering obturation jaundice. Klinicheskaia khirurgiia, 4, 9–12. Retrieved from https://www.researchgate.net/profile/Oleksandra_Oleshchuk2/publication/282009049_Protective_effect_of_ischemic_preconditioning_on_hepatic_state_in_its_ischemic-reperfusion_injury/links/563635c908ae88cf81bd0fec/Protective-effect-of-ischemic-preconditioning-on-hepatic-state-in-its-ischemic-reperfusion-injury.pdf#page=9. [in Russian].
Desiaterik, V. I., Kotov, A. V., Mamchur, D. V. (2017). Ways to improve the results of surgical treatment for obstructive jaundice on the background of gall stone disease. Ukrainian Journal Of Surgery, 32, 100-105. DOI:10.22141/1997–2938.1.32.2017.98500. [in Ukrainian].
Dzyubanovsky, I. Ya., Maksimlyuk, V. I., Dzyubanovsky, O. I., Haley, N. M., Smachylo, I. I., Sinoverskiy, L. V. (2013). Profilaktyka pechinkovoyi nedostatnosti u khvorykh z syndromom obturatsiynoyi zhovtyanytsi. Klinicheskaia khirurgiia, 4, P. 20. [in Ukrainian].
Kulezneva, Yu. V., Yzraylov, R. E., Kupryianov, E. Yu., Kyryllova, M. S., Smyrnov, E. A., Slyzovskyi, Y. A. (2013). Nitinol stents for benign strictures and damage to the bile ducts: YES or NO? Annals of surgical hepatology, 3, 61. Retrieved from http://vidar.ru/Article.asp?fid=ASH_2013_3_61. [in Russian].
Nichitaylo, M. E., Ohorodnyk, P. V., Deinychenko, A. H. (Eds.). (2012). Algorithm of differentiation and topical diagnostics of obturation obstruction and minimally invasive correction of magistral zhovchivivnyh grooms. Klinicheskaia khirurgiia, 2, 5–10. [in Russian].
Nichitaylo, M. E., Buryi, O. M., Tereshkevych, I. S. (Eds.). (2013). Endosonography in the diagnosis of distal biliary stenosis. Klinicheskaia khirurgiia, 11, 9–13. [in Russian].
Syplyvyi, V. A., Evtushenko, D. V., Evtushenko D. V. (Eds.). (2016). Morphological changes in the liver with obstructive jaundice due to choledocholithiasis, depending on its duration. Klinicheskaia khirurgiia, 2, 20–23. [in Russian].
Al-Jiffry, B. J., Elfateh, A., Chundrigar, T. (Eds.). (2013). Non-invasive assessment of choledocholithiasis in patients with gallstones and abnormal liver function. World J Gastroenterol, 19(35), 5877–5882. DOI:10.3748/wjg.v19.i35.5877.
Park, C. H. (2018). The Management of Common Bile Duct Stones. Korean J Gastroenterol, 71(5), 260–263. DOI:10.4166/kjg.2018.71.5.260.
El Nakeeb, A., Sultan, A. M., Hamdy, E., El Hanafy, E., Atef, E., Salah, T., El Geidie, A. A. (Eds.) (2015). Intraoperative endoscopic retrograde cholangio-pancreatography: A useful tool in the hands of the hepatobiliary surgeon. World J Gastroenterol, 21(2), 609–615. DOI:10.3748/wjg.v21.i2.609.
Dumonceau, J. M., Andriulli, A., Elmunzer, B. J., Mariani, A., Meister, T., Deviere, J., Marek, T. (Eds.). (2014). Prophylaxis of post-ERCP pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Updated June 2014. Endoscopy, 46, 799–815. DOI:10.1055/s-0034-1377875.
Sahoo, M. R., Kumar, A. T., Patnaik, A. (2014). Randomised study on single stage laparo-endoscopic rendezvous (intra-operative ERCP) procedure versus two stage approach (Pre-operative ERCP followed by laparoscopic cholecystectomy) for the management of cholelithiasis with choledocholithiasis. Journal of Minimal Access Surgery, 10(3), 139–143. DOI:10.4103/0972-9941.134877.
Naumowicz E., Białecki, J., Kołomecki, K. (2014). Results of treatment of patients with gallstone disease and ductal calculi by single-stage laparoscopic cholecystectomy and bile duct exploration. Wideochir Inne Tech Maloinwazyjne, 9(2), 179–189. DOI:10.5114/wiitm.2014.41629.
Zhou, Y., Zha, W. Z., Wu, X. D., Fan, R. G., Zhang, B., Xu, Y. H., Qin, C. L., Jia, J. (2017). Three modalities on management of choledocholithiasis: A prospective cohort study. International Journal of Surgery, 44, 269–273. DOI:10.1016/j.ijsu.2017.06.032
The Journal of V. N. Karazin Kharkiv National University, series Medicine has following copyright terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work, with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
