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Popov A.Yu.

Research Institute — S.V. Ochapovsky Regional Clinic Hospital No. 1 of the Ministry of Health of Krasnodar Region, Krasnodar, Russia

Baryshev A.G.

Research Institute — Ochapovsky Regional Clinic Hospital №1 of Healthcare Ministry of Krasnodar Region, Krasnodar, Russia;
Chair of Surgery №1, Advanced Training Faculty, Kuban State Medical University, Krasnodar, Russia

Bykov M.I.

Chair of Surgery №1 and Chair of Oncology with course of Thoracic Surgery of the Kuban State Medical University, Health Ministry of Russia, Krasnodar;
Research Institute — prof. S.V. Ochapovskiy Regional Clinical Hospital №1, Health Ministry of Krasnodar Region, Krasnodar, Russia

Petrovsky A.N.

Krasnodar Regional Clinical Hospital, Krasnodar, Russia

Lishchishin V.Ya.

Research Institute — Ochapovsky Regional Clinical Hospital №1 of Healthcare Ministry of the Krasnodar region, Krasnodar, Russia

Vagin I.V.

Research Institute — Ochapovsky Regional Clinical Hospital №1 of Healthcare Ministry of the Krasnodar region, Krasnodar, Russia

Shchava V.V.

Research Institute — Ochapovsky Regional Clinical Hospital №1 of Healthcare Ministry of the Krasnodar region, Krasnodar, Russia

Porkhanov V.A.

Research Institute — Ochapovsky Regional Clinic Hospital №1 of Healthcare Ministry of Krasnodar Region, Krasnodar, Russia;
Chair of Surgery №1, Advanced Training Faculty, Kuban State Medical University, Krasnodar, Russia

Outcomes of minimally invasive biliary decompression in obstructive jaundice

Authors:

Popov A.Yu., Baryshev A.G., Bykov M.I., Petrovsky A.N., Lishchishin V.Ya., Vagin I.V., Shchava V.V., Porkhanov V.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2018;(12): 50‑56

DOI: 10.17116/hirurgia201812150

Views: 951

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To cite this article:

Popov AYu, Baryshev AG, Bykov MI, et al. . Outcomes of minimally invasive biliary decompression in obstructive jaundice. Pirogov Russian Journal of Surgery. 2018;(12):50‑56. (In Russ.)
https://doi.org/10.17116/hirurgia201812150

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Aim — to study postoperative complications and mortality after minimally invasive biliary decompression in patients with mechanical jaundice. Material and methods. Prospective analysis included 2.072 patients with mechanical jaundice who underwent differential biliary decompression depending on the cause, level of obstruction, severity of jaundice and patient’s condition. Results. Relief of bilirubinemia and stabilization of the state were achieved in 1696 patients of the main group (98,6%) and in 328 (93.18%) patients of the control group. Mortality was similar in both groups: 8 (0.46%) and 2 (0.56%) patients. The best results were obtained in the main group for in-hospital and post-hospital complications after retrograde interventions (χ2=4.440821; df=0.891435; p<0.05) and post-hospital complications after antegrade interventions (χ2=35.52869; df= 1; p<0.05). Conclusion. Differentiated approach to minimally invasive biliary decompression is followed by reduced postoperative morbidity.

Keywords:

obstructive jaundice
decompression
complications
choledocholithiasis
pancreatobiliary cancer

Authors:

Popov A.Yu.

Research Institute — S.V. Ochapovsky Regional Clinic Hospital No. 1 of the Ministry of Health of Krasnodar Region, Krasnodar, Russia

Baryshev A.G.

Research Institute — Ochapovsky Regional Clinic Hospital №1 of Healthcare Ministry of Krasnodar Region, Krasnodar, Russia;
Chair of Surgery №1, Advanced Training Faculty, Kuban State Medical University, Krasnodar, Russia

Bykov M.I.

Chair of Surgery №1 and Chair of Oncology with course of Thoracic Surgery of the Kuban State Medical University, Health Ministry of Russia, Krasnodar;
Research Institute — prof. S.V. Ochapovskiy Regional Clinical Hospital №1, Health Ministry of Krasnodar Region, Krasnodar, Russia

Petrovsky A.N.

Krasnodar Regional Clinical Hospital, Krasnodar, Russia

Lishchishin V.Ya.

Research Institute — Ochapovsky Regional Clinical Hospital №1 of Healthcare Ministry of the Krasnodar region, Krasnodar, Russia

Vagin I.V.

Research Institute — Ochapovsky Regional Clinical Hospital №1 of Healthcare Ministry of the Krasnodar region, Krasnodar, Russia

Shchava V.V.

Research Institute — Ochapovsky Regional Clinical Hospital №1 of Healthcare Ministry of the Krasnodar region, Krasnodar, Russia

Porkhanov V.A.

Research Institute — Ochapovsky Regional Clinic Hospital №1 of Healthcare Ministry of Krasnodar Region, Krasnodar, Russia;
Chair of Surgery №1, Advanced Training Faculty, Kuban State Medical University, Krasnodar, Russia

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