The surgical tactics of treatment of the choledocholithiasis, complicated by the obstructive jaundice, in patients with the altered bilioduodenal anatomy

Shapoval’yants S.G.; Ardasenov T.B.; Fedorov E.D.; Myl'nikov A.G.; Pan'kov A.G.; Budzinsky S.A.; Ivanova E.V.; Bachurin A.N.

doi:https://doi.org/

Shapoval’yants S.G.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow

ORCID: 0000-0003-0629-3871

Ardasenov T.B.

Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
gorodskaia klinicheskaia bol'nitsa #31, Moskva

Fedorov E.D.

Kafedra gospital'noĭ khirurgii #2 i nauchno-issledovatel'skaia laboratoriia khirurgicheskoĭ gastronterologii i ndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova

SPIN RSCI: 6785-9959
Scopus AuthorID: 7004381289
ORCID: 0000-0002-6036-7061

Myl'nikov A.G.

Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
gorodskaia klinicheskaia bol'nitsa #31, Moskva

Pan'kov A.G.

Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
gorodskaia klinicheskaia bol'nitsa #31, Moskva

Budzinsky S.A.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I.Pirogov Russian National Research Medical University, Moscow;
City Clinical Hospital №31, Moscow Health Department, Moscow

Ivanova E.V.

Nauchnyĭ tsentr akusherstva, ginekologii i perinatologii im. akad. V.I. Kulakova, Moskva

ORCID: 0000-0002-4974-8947

Bachurin A.N.

Municipal clinical hospital №31, Moscow

The surgical tactics of treatment of the choledocholithiasis, complicated by the obstructive jaundice, in patients with the altered bilioduodenal anatomy

Authors:

Shapoval’yants S.G., Ardasenov T.B., Fedorov E.D., Myl'nikov A.G., Pan'kov A.G., Budzinsky S.A., Ivanova E.V., Bachurin A.N.

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Journal: Pirogov Russian Journal of Surgery. 2011;(10): 35‑38

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To cite this article:

Shapoval’yants SG, Ardasenov TB, Fedorov ED, et al. The surgical tactics of treatment of the choledocholithiasis, complicated by the obstructive jaundice, in patients with the altered bilioduodenal anatomy. Pirogov Russian Journal of Surgery. 2011;(10):35‑38. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

The treatment results of 69 patients with the altered bilioduodenal anatomy and choledocholithiasis, complicated by the obstructive jaundice, were analyzed. The anatomic changes were determined by the previous gastric resection or gastrectomy, biliodigestive anastomosis, bile duct strictures, pyloric stenosis, duodenal diverticulum or the Mirizzi syndrome. The surgical approach depended on the type and extent of anatomic changes. The endoscopic common bile duct decompression was possible in 82,6% of patients. The endoscopic bile duct stone removal was achieved only in 44,9% of patients, the other 8,7% with non-removable stones had the endoscopic bile duct stenting as a means of palliative surgery. Percutaneous transhepatic lithoextraction was performed in 1,5% of cases. The differential approach provided the decrease of postoperative complication rate and lethality to 14,5 and 2,9%, respectively.

Keywords:

choledocholithiasis

obstructive jaundice

surgical tactics

Authors:

Shapoval’yants S.G.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow

ORCID: 0000-0003-0629-3871

Ardasenov T.B.

Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
gorodskaia klinicheskaia bol'nitsa #31, Moskva

Fedorov E.D.

Kafedra gospital'noĭ khirurgii #2 i nauchno-issledovatel'skaia laboratoriia khirurgicheskoĭ gastronterologii i ndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova

SPIN RSCI: 6785-9959
Scopus AuthorID: 7004381289
ORCID: 0000-0002-6036-7061

Myl'nikov A.G.

Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
gorodskaia klinicheskaia bol'nitsa #31, Moskva

Pan'kov A.G.

Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
gorodskaia klinicheskaia bol'nitsa #31, Moskva

Budzinsky S.A.

Ivanova E.V.

Nauchnyĭ tsentr akusherstva, ginekologii i perinatologii im. akad. V.I. Kulakova, Moskva

ORCID: 0000-0002-4974-8947

Bachurin A.N.

Municipal clinical hospital №31, Moscow

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