Hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis
The OBJECTIVE of the study was to improve the results of treatment in patients with cholecystocholedocholithiasis complicated with acute cholangitis and biliary sepsis by analyzing the possibilities of hybrid surgery.MATERIAL AND METHODS. 126 patients with acute cholecystitis, cholangitis and biliar...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2019-06-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1169 |
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| author | D. N. Popov A. O. Tantsev T. O. Nikitina A. U. Korolkov |
| author_facet | D. N. Popov A. O. Tantsev T. O. Nikitina A. U. Korolkov |
| author_sort | D. N. Popov |
| collection | DOAJ |
| description | The OBJECTIVE of the study was to improve the results of treatment in patients with cholecystocholedocholithiasis complicated with acute cholangitis and biliary sepsis by analyzing the possibilities of hybrid surgery.MATERIAL AND METHODS. 126 patients with acute cholecystitis, cholangitis and biliary sepsis on the background of the cholecystocholedocholithiasis were treated during the period 2015–2018. We performed the comparative analysis of treatment results in different groups for evaluating the effectiveness of various hybrid operations.RESULTS. When analyzing the comparison of treatment results we determined that single-stage laparoscopic biliary tract lavage was more effective in the case of large or multiple bile ductus stones. Endoscopic transpapillary management performed by «Rendezvous» method was more effective than endoscopic papillosphincterotomy.CONCLUSION. With the development of acute cholecystitis, cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis, the implementation of single-stage hybrid surgical interventions taking into a specificity for each of the methods was indicated. |
| format | Article |
| id | doaj-art-e87582cf30f84749ac344f54744ec154 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2019-06-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-e87582cf30f84749ac344f54744ec1542025-08-20T03:43:58ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252019-06-011783343810.24884/0042-4625-2019-178-3-34-381008Hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasisD. N. Popov0A. O. Tantsev1T. O. Nikitina2A. U. Korolkov3Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityThe OBJECTIVE of the study was to improve the results of treatment in patients with cholecystocholedocholithiasis complicated with acute cholangitis and biliary sepsis by analyzing the possibilities of hybrid surgery.MATERIAL AND METHODS. 126 patients with acute cholecystitis, cholangitis and biliary sepsis on the background of the cholecystocholedocholithiasis were treated during the period 2015–2018. We performed the comparative analysis of treatment results in different groups for evaluating the effectiveness of various hybrid operations.RESULTS. When analyzing the comparison of treatment results we determined that single-stage laparoscopic biliary tract lavage was more effective in the case of large or multiple bile ductus stones. Endoscopic transpapillary management performed by «Rendezvous» method was more effective than endoscopic papillosphincterotomy.CONCLUSION. With the development of acute cholecystitis, cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis, the implementation of single-stage hybrid surgical interventions taking into a specificity for each of the methods was indicated.https://www.vestnik-grekova.ru/jour/article/view/1169mechanical jaundicecholangitisbiliary sepsisbiliary hypertensionhybrid surgery |
| spellingShingle | D. N. Popov A. O. Tantsev T. O. Nikitina A. U. Korolkov Hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis Вестник хирургии имени И.И. Грекова mechanical jaundice cholangitis biliary sepsis biliary hypertension hybrid surgery |
| title | Hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis |
| title_full | Hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis |
| title_fullStr | Hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis |
| title_full_unstemmed | Hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis |
| title_short | Hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis |
| title_sort | hybrid surgical interventions in treatment of cholangitis and biliary sepsis on the background of cholecystocholedocholithiasis |
| topic | mechanical jaundice cholangitis biliary sepsis biliary hypertension hybrid surgery |
| url | https://www.vestnik-grekova.ru/jour/article/view/1169 |
| work_keys_str_mv | AT dnpopov hybridsurgicalinterventionsintreatmentofcholangitisandbiliarysepsisonthebackgroundofcholecystocholedocholithiasis AT aotantsev hybridsurgicalinterventionsintreatmentofcholangitisandbiliarysepsisonthebackgroundofcholecystocholedocholithiasis AT tonikitina hybridsurgicalinterventionsintreatmentofcholangitisandbiliarysepsisonthebackgroundofcholecystocholedocholithiasis AT aukorolkov hybridsurgicalinterventionsintreatmentofcholangitisandbiliarysepsisonthebackgroundofcholecystocholedocholithiasis |