A DIFFERENTIATED APPROACH TO THE CHOICE OF METHODS FOR MINIMALLY INVASIVE AND SURGICAL TREATMENT OF MECHANICAL JAUNDICE OF BENIGN ORIGIN
Keywords:
Mechanical jaundice of benign origin, surgical treatment, differentiated approachAbstract
The study is based on the results of a comprehensive examination and treatment of 212 patients with mechanical jaundice of benign origin. The choice of the method and method of minimally invasive decompressive intervention in each case has a strictly differentiated approach and is possible in the form of a one-stage minimally invasive intervention (34.45%), a two-stage minimally invasive intervention (13.20%) or a two-stage combined minimally invasive and traditional intervention (20.27%). If the application is unsuccessful, or if complications occur during minimally invasive interventions, in the presence of congenital cystic lesions of the bile ducts, as well as with the development of postoperative mechanical jaundice, extended strictures of the bile ducts, open traditional laparotomic surgical interventions are the optimal treatment methods.
References
Dibirov M.D. [et al.] Algorithm of diagnosis and treatment of elderly and senile patients with acute cholecystitis, choledocholithiasis and mechanical jaundice / // Emergency medical care. - 2017. - Vol.6, No.2. - pp. 145-148.
Kulumbegov, G.R. The structure of the incidence of mechanical jaundice and the effectiveness of minimally invasive surgical interventions // Week of Science – 2017: materials of the All-Russian youth forum with international participation. - M., 2017. - pp. 390-391.
Vlasov A.P. [et al.] A method for assessing the severity of mechanical jaundice of non-tumor genesis / // Emergency medical care. N.V. Sklifosovsky Journal. – 2021. – vol. 10. - No. 2. – pp. 758-759.
Cinar H. [et al.] Factors affecting the conversion to open surgery during laparoscopic cholecystectomy in patients with cholelithiasis undergoing ERCP due to choledocholithiasis / // Ann. Ital. Chir. – 2017. – Vol. 88. – P. 229-236.
Zhu J.G. [et al.] Learning curve and outcome of laparoscopic transcystic common bile duct exploration for choledocholithiasis / // Br. J. Surg. – 2015. – Vol. 102, № 13. – P. 1691-7.
Статья поступила в редакцию 06.01.2024; одобрена после рецензирования 18.02.2024; принята к публикации 20.02.2024.
The article was submitted 06.01.2024; approved after reviewing 18.02.2024; accepted for publication 20.02.2024.
Информация об авторах:
Бабажанов Ахмаджон Султанбаевич.- DSc, доцент. заведующий курса хирургических болезней педиатрического факультета, Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: sammi@sammi.uz, https://orcid.org/0000-0001-8900-0020
Саидов Шухрат Абдунасимович - Соискатель кафедры хирургических болезней педиатрического факультета. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: sammi@sammi.uz, https://orcid.org/0009-0001-3813-2071
Источники финансирования: Работа не имела специального финансирования.
Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
Вклад авторов:
Бабажанов А.С — идеологическая концепция работы, написание текста; редактирование статьи;
Саидов Ш.А. — сбор и анализ источников литературы, написание текста.
Information about the authors:
Babazhanov Akhmadjon Sultаnbаevich.- DSc, Associate Professor. Head of the Course of Surgical Diseases of the Pediatric Faculty, Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: sammi@sammi.uz , https://orcid.org/0000-0001-8900-0020
Saidov Shukhrat Abdunasimovich- is a candidate of the Department of Surgical Diseases of the Pediatric Faculty. Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: sammi@sammi.uz , https://orcid.org/0009-0001-3813-2071
Sources of funding: The work did not have special funding.
Conflict of interest: The authors declare that there are no any obvious or potential conflicts of interests related to the publication of this article.
Authors' contributions:
Babazhanov A.S - ideological concept of the work, writing the text; edition of the article;
Kamalov N.A - collection and analysis of literature sources, writing the text.
