Treatment of benign diseases of hepaticocholedochus, complicated by obturation jaundice, using antegrade endobiliary interventions

Keywords: benign diseases of hepaticocholedochus; оbturation jaundice; аntegrade interventions; retrograde interventions; reconstructive-restorational operations

Abstract

Objective. To analyze the results of treatment of benign diseases of hepaticocholedochus (HCH), complicated by obturation jaundice (OJ), taking into account the antegrade endobiliary interventions application.

Маterials and methods. Retrospectively and prospectively in 2011-2017 yrs in the Institute were analyzed the results of treatment of 34 patients, suffering benign diseases of HCH, complicated by OJ.

Results. For biliary decompression in 15 (44.1%) patients (Group I) the аntegrade endobiliary interventions were applied. In 19 (55.9%) patients (Group II) the attempts to perform retrograde interventions have appeared ineffective. After biliary decompression in 24 (70.6%) patients the reconstructive-restorational operations were performed with application of the elaborated method of treatment of the HCH diseases (Pat. Of Ukraine on purposeful model №126337), and in 2 (5.9%) patients with «еndoscopically complex» forms of choledocholithiasis the miniinvasive combined interventions, using  antegrade and retrograde accesses, were conducted.

Conclusion. While applying of аntegrade endobiliary interventions we have had lowered the complication rate for biliary decompression from 78.9 tо 6.7% (complications were registered in 15 patients of Group II and in 1 patient of Group I); the rate of development of complications, occurring after reconstructive-restorational operations - from 52.6 tо 6.7% (complications were registered in10 patients of Group II and in 1 patient of Group I), аnd the lethality as well - from 10.5 tо 6.7% (2 patients of Group II and 1 patient of Group I died).

Author Biographies

V. V. Boyko, Kharkiv National Medical University, Zaytsev Institute of General and Urgent Surgery, Kharkiv

Boyko Valeriy Vladimirovich- Doctor of Medical Sciences, Professor,

Head of the Surgery Department No.1

Kharkiv National Medical University,

4 Nauky Prospekt, Kharkiv, Ukraine, 61022,

+38 057-707-53-80;

Director

Zaycev Institute of General and Urgent Surgery;

1 Balakireva str, Kharkiv, Ukraine, 61103,

+38 057-715-33-45

e-mail: vvb4125@gmail.com

https://orcid.org/0000-0002-9274-2153

Yu. V. Avdosyev, Zaytsev Institute of General and Urgent Surgery, Kharkiv

Avdosyev Yuriy Vladimirovich- Doctor of Medical Sciences, Professor,

Head of the Department of Intervention Radiology

Zaycev Institute of General and Urgent Surgery

1 Balakireva str, Kharkiv, Ukraine, 61103,

+38 057-715-33-45;

e-mail: avdosjev@ukr.net

https://orcid.org/0000-0002-2677-4464

V. V. Makarov, Kharkiv National Medical University

Makarov Vitaliy Vladimirovich- Doctor of Medical Sciences, Professor

Surgery Department No.1

Kharkiv National Medical University,

4 Nauky Prospekt, Kharkiv, Ukraine, 61022,

+38 057-707-53-80;

e-mail: docvvmakarov@gmail.com

https://orcid.org/0000-0002-4224-0294

V. G. Hroma, Kharkiv National Medical University, Zaytsev Institute of General and Urgent Surgery, Kharkiv

Hroma Vasil Grigorievich - Doctor of Medical Sciences, Professor

Surgery Department No.1

Kharkiv National Medical University,

4 Nauky Prospekt, Kharkiv, Ukraine, 61022,

+38 057-707-53-80;

Head of the Department of Operative Endoscopy

Zaycev Institute of General and Urgent Surgery

1 Balakireva str, Kharkiv, Ukraine, 61103,

+38 057-715-33-45;

e-mail: dr.hroma@gmail.com

https://orcid.org/0000-0003-1886-3181

A. L. Sochnieva, Kharkiv National Medical University

Sochnieva Anastasiia Lvovna- postgraduate (PhD) student

Surgery Department No.1

Kharkiv National Medical University,

4 Nauky Prospekt, Kharkiv, Ukraine, 61022,

+38 057-707-53-80;

e-mail: sochnevanastya@gmail.com;

https://orcid.org/0000-0003-0106-5247

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Published
2018-10-29
How to Cite
Boyko, V. V., Avdosyev, Y. V., Makarov, V. V., Hroma, V. G., & Sochnieva, A. L. (2018). Treatment of benign diseases of hepaticocholedochus, complicated by obturation jaundice, using antegrade endobiliary interventions. Klinicheskaia Khirurgiia, 85(10), 10-13. https://doi.org/10.26779/2522-1396.2018.10.10
Section
General Problems of Surgery