Outcomes of minimally invasive biliary decompression in obstructive jaundice

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

doi:https://doi.org/10.17116/hirurgia201812150

Popov A.Yu.

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

SPIN RSCI: 1244-5034
ORCID: 0000-0003-1336-7242

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

SPIN RSCI: 2924-1648
ORCID: 0000-0002-6735-3877

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

SPIN RSCI: 3197-8721
ORCID: 0000-0001-7193-6277

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.

SPIN RSCI: 2446-5933
ORCID: 0000-0003-0572-1395

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.

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

DOI: 10.17116/hirurgia201812150

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

Использование инфографики авторами научных работ

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Abstract:

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

SPIN RSCI: 1244-5034
ORCID: 0000-0003-1336-7242

Baryshev A.G.

SPIN RSCI: 2924-1648
ORCID: 0000-0002-6735-3877

Bykov M.I.

Petrovsky A.N.

Krasnodar Regional Clinical Hospital, Krasnodar, Russia

SPIN RSCI: 3197-8721
ORCID: 0000-0001-7193-6277

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.

SPIN RSCI: 2446-5933
ORCID: 0000-0003-0572-1395

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References:

Bedin VV, Vengerov VYu, Shabunin AV. Vybor sposoba khirurgicheskogo lecheniya khronicheskogo pankreatita, oslozhnennogo mekhanicheskoi zheltukhoi. Moskovskii khirurgicheskii zhurnal. 2016;50(4):77-81 (In Russ.).
Hameed A, Pang T, Chiou J, Pleass H, Lam V, Hollands M, Johnston E, Richardson A, Yuen L. Percutaneous vs. endoscopic pre-operative biliary drainage in hilar cholangiocarcinoma — a systematic review and metaanalysis. HPB (Oxford). 2016;18(5):400-410. https://doi.org/10.1016/j.hpb.2016.03.002
Al’yanov AL, Mamoshin AV, Borsukov AV, AbolmasovAV, Muradyan VF, Rubanik DS. Minimal’no-invazivnye vmeshatel’stva v diagnostike i lechenii bol’nykh s sindromom mekhanicheskoi zheltukhi. Vestnik khirurgicheskoi gastroenterologii. 2016;3:43-48. (In Russ.)
Bykov MI, Porkhanov VA. Printsipy endoskopicheskoi retrogradnoi dekompressii zhelchevyvodyashchikh putei pri ostrom obturatsionnom kholangite. Vestnik khirurgicheskoi gastroenterologii. 2014;4(3):84-94. (In Russ.)
Sun J, Liu G, Yuan Y, He Y, Liu ZS. Operable severe obstructive jaundice: how should we use pre-operative biliary drainage? S Afr J Surg. 2013;51(4):127-130. https://doi.org/10.7196/sajs.1597
Bolezni pecheni i zhelchevyvodyashchikh putei: Rukovodstvo dlya vrachei. Pod red. Ivashkina VT. M.: M-Vesti;2002. (In Russ.)
Scheufele F, Aichinger L, Jäger C, Demir IE, Schorn S, Sargut M, Erkan M, Kleeff J, Friess H, Ceyhan GO. Effect of preoperative biliary drainage on bacterial flora in bile of patients with periampullary cancer. Br J Surg. 2017;104(2):182-188. https://doi.org/10.1002/bjs.10450
Sugiyama H, Tsuyuguchi T, Sakai Y, Mikata R, Yasui S, Watanabe Y, Sakamoto D, Nakamura M, Sasaki R, Senoo J, Kusakabe Y, Hayashi M, Yokosuka O. Current status of preoperative drainage for distal biliary obstruction. World J Hepatol. 2015;7(18):2171-2176. https://doi.org/10.4254/wjh.v7.i18.2171
Malkov IS, Shaimardanov RSh, Korobkov VN, Filippov VA, Khisamiev IG. Faktory, vliyayushchie na rezul’taty lecheniya bol’nykh s mekhanicheskoi zheltukhoi. Khirurgiya. Zhurnal im. N.I. Pirogova. 2016;10:48-51. (In Russ.)
Gal’perin EI, Kotovskii AE, Momunova ON. Optimal’nyi uroven’ blirubinemii pered vypolneniem operatsii u bol’nykh mekhanicheskoi zheltukhoi opukholevoi etiologii. Annaly khirurgicheskoi gepatologii. 2011;16(1):45-51 (In Russ.)
Williams E, Beckingham I, Sayed G, et al. Updated guideline on the management of common bile duct stones (CBDS). Gut. 2017;66(5):765-782. https://doi.org/10.1136/gutjnl-2016-312317
Poincloux L, Rouquette O, Buc E, Privat J, Pezet D, Dapoigny M, Bommelaer G, Abergel A. Endoscopic ultrasound-guided biliary drainage after failed ERCP: cumulative experience of 101 procedures at a single center. Endoscopy. 2015;47(9):794-801. https://doi.org/10.1055/s-0034-1391988
Wang L, Yu WF. Obstructive jaundice and perioperative management. Acta Anaesthesiol Taiwan. 2014;52(1):22-29. https://doi.org/10.1016/j.aat.2014.03.002
Fujii M, Ishiyama S, Saito H, Ito M, Fujiwara A, Niguma T, Yoshioka M, Shiode J. Metallic stent insertion with double-balloon endoscopy for malignant afferent loop obstruction. World J Gastrointest Endosc. 2015;7(6):665-669. https://doi.org/10.4253/wjge.v7.i6.665
Liu C, Lu JW, Du ZQ, Liu XM, Lu Y, Zhang XF. Association of preoperative biliary drainage with postoperative morbidity after pancreaticoduodenectomy. Gastroenterol Res Pract. 2015;2015:79-93. https://doi.org/10.1155/2015/796893
Shaib Y, Rahal MA, Rammal MO, Mailhac A, Tamim H. Preoperative biliary drainage for malignant biliary obstruction: results from a national database. J Hepatobiliary Pancreat Sci. 2017;24(11):637-642. https://doi.org/10.1002/jhbp.505
Moole H, Bechtold M, Puli SR. Efficacy of preoperative biliary drainage in malignant obstructive jaundice: a metaanalysis and systematic review. World J Surg Oncol. 2016;14(1):182. https://doi.org/10.1186/s40644-017-0129-1
Gal’perin EI, Momuntova ON. Klassifikatsiya tyazhesti mekhanicheskoi zheltukhi. Khirurgiya. Zhurnal im. N.I. Pirogova. 2014;1:5-9 (In Russ.)