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www.T-Science.org       p-ISSN 2308-4944 (print)       e-ISSN 2409-0085 (online)
SOI: 1.1/TAS         DOI: 10.15863/TAS

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ISJ Theoretical & Applied Science 07(87) 2020

Philadelphia, USA

* Scientific Article * Impact Factor 6.630


Urakov, S. T., & Kenjaev, L. R.

Diagnostics and treatment of mechanical jaundice on the background of liver cirrosis.

Full Article: PDF

Scientific Object Identifier: http://s-o-i.org/1.1/TAS-07-87-82

DOI: https://dx.doi.org/10.15863/TAS.2020.07.87.82

Language: English

Citation: Urakov, S. T., & Kenjaev, L. R. (2020). Diagnostics and treatment of mechanical jaundice on the background of liver cirrosis. ISJ Theoretical & Applied Science, 07 (87), 432-435. Soi: http://s-o-i.org/1.1/TAS-07-87-82 Doi: https://dx.doi.org/10.15863/TAS.2020.07.87.82

Pages: 432-435

Published: 30.07.2020

Abstract: Diagnostics and treatment of mechanical jaundice on the background of liver cirrhosis. The paper presents the results of examination and surgical treatment of 194 patients with diseases of the zone, complicated by obstructive jaundice. Causes of jaundice were: choledocholithiasis — 40%, the pathology of pancreatic cancer — 30%, bile duct strictures — 18%, liver disease — 7%, acute calculous cholecystitis — 5%. For the diagnosis of diseases of hepatopancreoduodenal zone is necessary to use a two-step tactic. Stage I treatment is performed decompression of the biliary tract, which in a number of observations can be the final view of surgical intervention. Radical surgery or stenting of the duct is carried out when the normalization of liver function. Surgical treatment was performed in 155 patients. Cholecystectomy, choledocholytotomia with external drainage through the cystic duct stump or from minimal access laparoscopy was performed in 46 patients. Conservative tactics and mini-invasive measures have proved effective in the majority of cases (91,5%).

Key words: obstructive jaundice, hepatopancreoduodenal zone, stenting duct, cholecystectomy, choledocholytotomia, cirrhosis of the liver.


 

 

 

 

 

 

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