RESUMEN
Transcutaneous endobiliary procedures (TEP) were performed in 378 patients with obstructive jaundice (OJ). External decompression of the biliary ducts was carried out as the first stage of treatment in all the patients with OJ of various etiology. This procedure led to reduction of cholangitis symptoms and hepatic failure, improvement of general condition of the patients before radical surgery. Endoprosthesis of the bile ducts made in 121 patients allowed physiological passage of bile into the intestine and improved quality of life especially in inoperable patients with hepatic and pancreatoduodenal tumors. During external drainage in 27 (7.1%) patients dislocation of drainage of the common bile duct occurred. Postoperative lethality was 8.5%. After open surgeries 2 (1.2%) patients died.
Asunto(s)
Conductos Biliares/cirugía , Colecistectomía Laparoscópica/métodos , Ictericia Obstructiva/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Colangiopancreatografia Retrógrada Endoscópica , Estudios de Seguimiento , Humanos , Ictericia Obstructiva/diagnóstico por imagen , Persona de Mediana Edad , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
Results of examination of 324 biopsies from hepatopancreatoduodenal zone were analyzed. The biopsy was performed as roentgentelevision- or US-guided procedure with Pro-Mag 2.2 device. There were no complications. Percutaneous endoprosthesis of biliary ducts was performed in 127 patients (89% of them were older than 65 years) with obstructive jaundice. Roentgen- or gastroscopy-guided hepaticogastroanastomosis was formed in 36 patients with different diseases. The follow-up was to 18 months in malignant tumors, and to 26 months in benign strictures. Video-assisted drainage of gall bladder in acute cholecystitis was performed in 436 patients with cholelithiasis and severe concomitant diseases. Results of many-stage treatment of 207 patients with choledocholithiasis were analyzed, residual disease was revealed in 11 (5.6%) patients.