Detailed Abstract
[E-poster - Biliary & Pancreas (Biliary Disease/Surgery)]
[EP 201] MINIMALLY INVASIVE BILE DISTRIBUTION INTERVENTIONS IN PATIENTS WITH OBSTRUCTIONAL JAUNDICE OF VARIOUS GENESIS
Farukh MAHMADZODA1, Abdurahmon ASHUROV1, Faridun SAFAROV2, Faridun AZIMOV1, Davlatmurod SADULLOEV2, Akbar MURODOV3, Kamol BAROTOV1
1Department of Hepatobiliary and Pancreatic Surgery, Avicenna Tajik State Medical University, Tajikistan, 2Department of Hepatobiliary and Pancreatic Surgery, Institute of Gastroenterology of the Republic of Tajikistan, Tajikistan, 3Department of Hepatobiliary and Pancreatic Surgery, Scientific Center of Oncology of the Republic of Tajikistan, Tajikistan
Background : To study options for minimally invasive correction of obstructive jaundice of various origins.
Methods : The results of treatment of 126 patients who were treated for breast cancer over the past 10 years were analyzed. There were 45.2% men, 54.8% women. Obstructive jaundice as a complication of cholelithiasis was noted in 29.4% of patients, due to benign formations of the hepatopancreatoduodenal zone - in 23.8%, malignant neoplasms of the hepatopancreatoduodenal zone - in 29.4% and as a complication after surgical interventions on the organs of the hepatopancreatoduodenal zone - in 17.4 % of patients.
Results : Minimally invasive methods of breast correction were performed in 57.9% patients, traditional “open” methods - in 42.1%. Purulent cholangitis was diagnosed in 22.2%, cholangiogenic liver abscesses - in 4.8% of patients. A picture of liver failure was detected in 57.9% of patients, which was expressed by a decrease in the level of albumin and prothrombin in combination with signs of encephalopathy. A total of 101 minimally invasive interventions were performed under ultrasound control. 17.8% patients were treated by the puncture method, 74.0% patients underwent decompression of the biliary tree and in 8.2% patients the puncture-endoscopic method of treatment was used. Percutaneous transhepatic cholangiostomy was performed in 47.9% patients, percutaneous transhepatic cholecystostomy in 42.5% patients. The average duration of preoperative external bile diversion in patients with minimally invasive correction was 10.36+0.82 days. In the comparison group, the average duration of external bile diversion was 16.37+1.62 days. Postoperative complications occurred in 13.3%, mortality - in 6.6%, on the contrary - 23.9% and 19.6% in the comparison group.
Conclusions : Ultrasound-guided interventions are an effective method for the treatment of obstructive jaundice and provide a higher quality of life for patients compared to traditional treatment options, and can improve immediate and long-term treatment results.
Methods : The results of treatment of 126 patients who were treated for breast cancer over the past 10 years were analyzed. There were 45.2% men, 54.8% women. Obstructive jaundice as a complication of cholelithiasis was noted in 29.4% of patients, due to benign formations of the hepatopancreatoduodenal zone - in 23.8%, malignant neoplasms of the hepatopancreatoduodenal zone - in 29.4% and as a complication after surgical interventions on the organs of the hepatopancreatoduodenal zone - in 17.4 % of patients.
Results : Minimally invasive methods of breast correction were performed in 57.9% patients, traditional “open” methods - in 42.1%. Purulent cholangitis was diagnosed in 22.2%, cholangiogenic liver abscesses - in 4.8% of patients. A picture of liver failure was detected in 57.9% of patients, which was expressed by a decrease in the level of albumin and prothrombin in combination with signs of encephalopathy. A total of 101 minimally invasive interventions were performed under ultrasound control. 17.8% patients were treated by the puncture method, 74.0% patients underwent decompression of the biliary tree and in 8.2% patients the puncture-endoscopic method of treatment was used. Percutaneous transhepatic cholangiostomy was performed in 47.9% patients, percutaneous transhepatic cholecystostomy in 42.5% patients. The average duration of preoperative external bile diversion in patients with minimally invasive correction was 10.36+0.82 days. In the comparison group, the average duration of external bile diversion was 16.37+1.62 days. Postoperative complications occurred in 13.3%, mortality - in 6.6%, on the contrary - 23.9% and 19.6% in the comparison group.
Conclusions : Ultrasound-guided interventions are an effective method for the treatment of obstructive jaundice and provide a higher quality of life for patients compared to traditional treatment options, and can improve immediate and long-term treatment results.
SESSION
E-poster
E-Session 03/21 ALL DAY