Summary
doi: 10.25005/2074-0581-2013-15-3-18-23
Minimally invasive technology in the diagnosis and treatment of obstructive jaundice
Chair of surgical diseases №1 of Avicenna TSMU
Analyzed the experience of diagnosis and treatment of obstructive jaundice (OJ) using a minimally invasive surgical procedures in 226 patients. It is established that the clinical picture, laboratory findings have secondary importance in determining the level and causes of bile draining block. For differential diagnosis of the etiological agent of obstructive jaundice non-invasive and minimally invasive radiologic studies were used: ultrasound (n=226), magnetic resonancecholangiopancreatogra phy (n=96), multidetectorcomputed tomography (n=24), retrogradecholangiopancreatography (n=59) and percutaneoustranshepaticcholangiography (n=39).
In order to determine of informativity disclosing of stones, strictures of bile-excreting ducts, volumetric formations, dilatation of intra-liver bile-excreting ducts, common hepatic duct and common bile duct were evaluated. Ways to eliminate biliary hypertension were different types of endoscopic decompression (n=57) and percutaneous transhepaticcholangiostomy (n=31), which were performed in conjunction with ERCPG and PTCG. In comparative evaluation, the ability of performing these types of bile-excreting ductsdecompression, their effectiveness in jaundice resolution were 93,3%.
Keywords: jaundice, decompression of biliary ducts, percutaneous transhepatic cholangiography.
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