A Yu Popov1, A G Baryshev1, M I Bykov1, A N Petrovsky2, V Ya Lishchishin2, I V Vagin2, V V Shchava2, V A Porkhanov2. 1. Research Institute - Ochapovsky Regional Clinical Hospital #1 of Healthcare Ministry of the Krasnodar region, Krasnodar, Russia; Kuban State Medical University, Chair of Surgery #1 of the Faculty of Advanced Training and Professional Retraining of Specialists, Krasnodar, Russia. 2. Research Institute - Ochapovsky Regional Clinical Hospital #1 of Healthcare Ministry of the Krasnodar region, Krasnodar, Russia.
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.
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.
Entities:
Keywords:
choledocholithiasis; complications; decompression; obstructive jaundice; pancreatobiliary cancer