RESUMO
The results of treatment of 116 patients with diseases of hepato-pancreatoduodenal zone organs, complicated by obstructive jaundice, are adduced. In 63 patients the laparoscopy was applied, in 39--an external drainage of the biliferous ducts with the help of laparoscopic cholecystostomy or cholangiostomy and the direct radiopaque investigation of biliferous system. After the liver function indexes normalization and the jaundice liquidation an operative intervention using laparotomy was done. Lethality was 1,72%.
Assuntos
Colestase/diagnóstico , Colestase/cirurgia , Laparoscopia , Ductos Biliares/cirurgia , Drenagem , Humanos , Laparotomia , Testes de Função Hepática , Pessoa de Meia-Idade , Bexiga Urinária/cirurgiaRESUMO
Among 116 patients with diseases of hepatopancreatoduodenal zone organs, complicated with obstructive jaundice, the group of heightened operational risk was picked out. As the first stage of surgical treatment the laparoscopy was applied with subsequent operative intervention conduction using laparotomy. In critically ill patients the endoscopic intervention was the last stage of surgical treatment. In the group of heightened operative risk lethality was 3.9%.
Assuntos
Colestase/cirurgia , Duodenopatias/cirurgia , Hepatopatias/cirurgia , Pancreatopatias/cirurgia , Idoso , Colestase/diagnóstico , Colestase/etiologia , Drenagem , Duodenopatias/complicações , Duodenopatias/diagnóstico , Humanos , Laparoscopia , Laparotomia , Hepatopatias/complicações , Hepatopatias/diagnóstico , Pessoa de Meia-Idade , Pancreatopatias/complicações , Pancreatopatias/diagnóstico , Fatores de RiscoRESUMO
The analysis of diagnosis and treatment of 76 patients with obstructive jaundice of different genesis was carried out. In 20 cases, an unloading diagnostic laparoscopic cholecystostomy was created, direct roentgenologic examination of the bile ducts conducted, removal of concrements from the gallbladder by means of a choledochoscope performed. Twenty four patients with choledocholithiasis underwent the radical operation, 23 with jaundice of oncologic genesis-the palliative one. All the patients are alive.
