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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