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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.

More about the authors

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 2025 (Pirogov Russian Journal of Surgery)
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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

List of references:

  1. Briskin BS, Dibirov MD, Ribakov GS, Khamidov HO I dr. Surgical tactics in acute cholecystitis and choledocholithiasis, complicated by mechanical jaundice in patients of elderly and senile age. Annaly hirurgicheskoj gepatologii. 2008;13(3):15-19. (In Russ.).
  2. Vetshev PS, Stoyko YuM, Levchuk AL, Bardakov VG. The possibilities of modern methods of diagnosis and rationale for treatment strategy in obstructive jaundice. Vestnik hirurgicheskoj gastrojenterologii. 2008;(2):24-32. (In Russ.).
  3. Vetshev PS. Obstructive Jaundice: Caused and Diagnostic Approaches (lecture). Annaly hirurgicheskoj gepatologii. 2011;16(3):50-57. (In Russ.).
  4. Galperin EI. Obstructive Jaundice - a «False Stable» Condition, Consequences of a "Second Hit", Management Principles. Annaly hirurgicheskoj gepatologii. 2011;16(3):16-26. (In Russ.).
  5. Shevchenko YL, Vetshev PS, Stoyko YuM, Levchuk AL, Bardakov VG, Stepanyuk IV. Diagnosis and surgical tactics in the syndrome of obstructive jaundice. Annaly hirurgicheskoj gepatologii. 2008;13(4):96-105. (In Russ.).
  6. Cemachovic I, Letard JC, Begin GF et al. Intraoperative endoscopic sphincterotomy is a reasonable option for complete single_stage minimally invasive billiary stones treatment: short_termexperience with 57 patients. Endoscopy. 2000;32(12):956-962.
  7. Lillemoe KD et al. Major Bile Duct Injuries During Laparoscopic Cholecystectomy. Follow_Up After Combined Surgical and Radiologic Management. Ann. Of Surg. 1997;225(5):459-471.
  8. Trerotola SO, Savader SJ, Lund GB et al. Biliary tract complications following laparoscopic cholecystectomy: imaging and intervention. Radiology. 1992;184(1):195-200.  doi: 10.1148/radiology.184.1.1535161

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