Retrograde minimally invasive technologies in the treatment of obstructive jaundice syndrome
https://doi.org/10.16931/1995-5464.2019260-73
Abstract
Approaches and results of endoscopic transpapillary procedures in the treatment of patients with obstructive jaundice of various origins are analyzed. Modern trends in the development of endobiliary surgery and recommendations devoted to various endoscopic techniques and methods of biliary decompression depending on etiology and severity of obstructive jaundice, management of patients and dates of interventions are described. Leading specialized centers are characterized by quite high effectiveness of endoscopic transpapillary interventions in patients with cholelithiasis complicated by obstructive jaundice (95.2–97.5%), benign biliary strictures (63.7–92.8%) and biliopancreatoduodenal malignancies (70–96.8%). Analysis of modern tactical and technical approaches and international guidelines for transpapillary interventions allowed us to determine the current capabilities of retrograde minimally invasive curative technologies, systematize and optimize the basic algorithms for endoscopic care in patients with obstructive jaundice, and outline the prospects for the introduction and improvement of the effectiveness of new techniques.
About the Authors
M. I. Bykov
Chair of Surgery №1, Faculty of Advanced Training and Professional Retraining, Kuban State Medical University; Research Institute – Ochapovsky Regional Clinical Hospital №1
Russian Federation
Russian Federation
Mikhail I. Bykov – Doct. of Sci. (Med.), Professor of the Chair of Surgery Department №1, Faculty of Advanced Training and Professional Retraining, Kuban State Medical University, Head of the Endoscopic Department №2 of the Research Institute – Ochapovsky Regional Clinical Hospital №1
4, Sedina str., Krasnodar, 350000
167, 1 May str., Krasnodar, 350086
V. A. Porkhanov
Chair of Surgery №1, Faculty of Advanced Training and Professional Retraining, Kuban State Medical University; Chair of Oncology with the Course of Thoracic Surgery, Faculty of Advanced Training and Professional Retraining, Kuban State Medical University
Russian Federation
Russian Federation
Vladimir A. Porkhanov – Doct. of Sci. (Med.), Professor, Academician of RAS, Chief Physician of the Research Institute – Ochapovsky Regional Clinical Hospital №1, Head of the Chair of Oncology with the Course of Thoracic Surgery of the Faculty of Advanced Training and Professional Retraining, Kuban State Medical University
4, Sedina str., Krasnodar, 350000
S. L. Gobaeva
Research Institute – Ochapovsky Regional Clinical Hospital №1
Russian Federation
Russian Federation
Svetlana L. Gobaeva – Physician of the Endoscopic Department №2, Research Institute – Ochapovsky Regional Clinical Hospital №1
167, 1 May str., Krasnodar, 350086
V. V. Shchava
Chair of Surgery №1, Faculty of Advanced Training and Professional Retraining, Kuban State Medical University; Research Institute – Ochapovsky Regional Clinical Hospital №1
Russian Federation
Russian Federation
Valeriy V. Shchava – Postgraduate Student of the Chair of Surgery, Faculty of Advanced Training and Professional Retraining, Kuban State Medical University, Physician of the Endoscopic Department №2, Research Institute – Ochapovsky Regional Clinical Hospital №1
4, Sedina str., Krasnodar, 350000
167, 1 May str., Krasnodar, 350086
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For citations:
Bykov M.I., Porkhanov V.A., Gobaeva S.L., Shchava V.V. Retrograde minimally invasive technologies in the treatment of obstructive jaundice syndrome. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(2):60-73. (In Russ.) https://doi.org/10.16931/1995-5464.2019260-73
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