Results of surgical treatment of patients, suffering hepatic cirrhosis and cholestatic syndrome
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.
2. Grgurevic I, Bokun T, Bozin T, Matic V, Haberle S, Sporea I. Non-invasive diagnosis of portal hypertension in cirrhosis using ultrasound based elastography. Med Ultrason. 2017;199(3):310-7. doi: 10.11152/mu-1019
3. Grubnik VV, Koval’chuk AL, Zagorodnyuk ON, Grubnik YuV. Endovaskulyarnyie operatsii v kompleksnom lechenii bolnyih zhelchekamennoy boleznyu s soputstvuyuschim tsirrozom pecheni. Ukr. zhurn. hirurgii. 2009;(5):58-60 [In Russian].
4. Zakharash MP, Zaverny LG, Stel’makh AI, Zakharash YuM, Bekmuradov AR, Kalashnikov AA, et al. Hirurgicheskaya taktika pri ostrom holetsistite i ego oslozhneniyah u bolnyih s povyishennyim operatsionno anesteziologicheskim riskom. Kharkivska Khirurhichna shkola. 2007;(4):92-6 [In Russian].
5. Dzygal OF. EndoskopIchna papIlosfInkterotomIya u hvorih pri tsirozI pechInki z nayavnIstyu holestazu. Shpytalna Khirurgiia. Im. LYa Kovalchuk. 2017;(2):61-6 [In Ukrainian].
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