Results of surgical treatment of patients, suffering hepatic cirrhosis and cholestatic syndrome

Keywords: hepatic cirrhosis; cholestatic syndrome; biliary block; staged surgical interventions; laparoscopic operations; еfficacy of treatment

Abstract

Objective. Determination of the surgical treatment efficacy in patients, suffering hepatic cirrhosis (HC), in presence of cholestatic syndrome (CHS).

Маterials and methods. Results of surgical treatment of 1117 patients, suffering HC with suspicion on biliary calculous disease and obturation jaundice, in 52 of whom choledocholithiasis was diagnosed, were analyzed retrospectively.

Results. Of 52 patients, suffering HC and CHS due to choledocholithiasis, in 43 a one-stage surgical tactics was used, and in 9 – a two-staged one. Of 43 patients, complicated by choledocholithiasis, in whom a one-stage surgical tactics of treatment was applied, 27 were operated using open access and16 - laparoscopically. Choledocholithiasis was eliminated in 12 of 16 patients laparoscopically, and in 4 patients a conversion was performed.

Conclusion. Оne-stage tactics of surgical treatment in patients, suffering HC and CHS, is considered effective due to possibility to perform a majority of operative interventions laparoscopically with minimal rate of complications and lethality.

Author Biographies

О. F. Dzygal, Оdessa National Medical University

Dzygal Olexander Fedorovich, PhD (Medicine), Associated Professor,
Department of Surgery N3 with neurosurgery,
Odessa National Medical University
Valikhovsky lane, 2, Odessa, 65026, Ukraine
Tel: 050-3365050; e-mail: ADzygal@eximneft.com
ORCID: https://orcid.org/0000-0001-5108-1945

І. М. Deykalo, І. Gorbachevskyi Теrnopil State Medical University

Deykalo Ihor Mykolayovych, , PhD (Medicine), Doctor of Sci., Professor
Head of General Surgery Department,
I.Ya. Horbachevsky Ternopil State Medical University
General Surgery Department, Freedom Sq., 1, Ternopil, 46001, Ukraine
Tel: 067-257-82-96; e-mail: deykalo@tdmu.edu.ua
ORCID: https://orcid.org/0000-0002-0095-4862

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Published
2018-07-26
How to Cite
DzygalО. F., & DeykaloІ. М. (2018). Results of surgical treatment of patients, suffering hepatic cirrhosis and cholestatic syndrome. Klinicheskaia Khirurgiia, 85(7), 24-26. https://doi.org/10.26779/2522-1396.2018.07.24
Section
General Problems of Surgery