The factors affecting the results of mechanical jaundice management

Malkov I.S.; Shaimardanov R.Sh.; Korobkov V.N.; Filippov V.A.; Khisamiev I.G.

doi:https://doi.org/10.17116/hirurgia20161048-51

Malkov I.S.

Kazan State Medical Academy, Health Ministry of the Russian Federation

Shaimardanov R.Sh.

Kazan State Medical Academy, Health Ministry of the Russian Federation

Korobkov V.N.

Kazan State Medical Academy, Health Ministry of the Russian Federation

Filippov V.A.

Kazan State Medical Academy, Health Ministry of the Russian Federation

Khisamiev I.G.

City Clinical Hospital №7, Kazan, Russia

The factors affecting the results of mechanical jaundice management

Authors:

Malkov I.S., Shaimardanov R.Sh., Korobkov V.N., Filippov V.A., Khisamiev I.G.

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Journal: Pirogov Russian Journal of Surgery. 2016;(10): 48‑51

DOI: 10.17116/hirurgia20161048-51

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To cite this article:

Malkov IS, Shaimardanov RSh, Korobkov VN, Filippov VA, Khisamiev IG. The factors affecting the results of mechanical jaundice management. Pirogov Russian Journal of Surgery. 2016;(10):48‑51. (In Russ.)
https://doi.org/10.17116/hirurgia20161048-51

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

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Abstract:

Aim. To improve the results of obstructive jaundice management by rational diagnostic and treatment strategies. Material and methods. Outcomes of 820 patients with obstructive jaundice syndrome were analyzed. Results. Diagnostic and tactical mistakes were made at pre-hospital stage in 143 (17.4%) patients and in 105 (12.8%) at hospital stage. Herewith, in 53 (6.5%) cases the errors were observed at all stages. Retrospective analysis of severe postoperative complications and lethal outcomes in patients with obstructive jaundice showed that in 23.8% of cases they were explained by diagnostic and tactical mistakes at various stages of examination and treatment. Сonclusion. We developed an algorithm for obstructive jaundice management to reduce the number of diagnostic and tactical errors, a reduction in the frequency of diagnostic and tactical errors. It reduced the number of postoperative complications up to 16.5% and mortality rate to 3.0%.

Keywords:

obstructive jaundice

diagnosistics

surgical treatment

Authors:

Malkov I.S.

Kazan State Medical Academy, Health Ministry of the Russian Federation

Shaimardanov R.Sh.

Kazan State Medical Academy, Health Ministry of the Russian Federation

Korobkov V.N.

Kazan State Medical Academy, Health Ministry of the Russian Federation

Filippov V.A.

Kazan State Medical Academy, Health Ministry of the Russian Federation

Khisamiev I.G.

City Clinical Hospital №7, Kazan, Russia

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References:

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