Difficulties in assessing the severity of liver dysfunction for obstructive jaundice
https://doi.org/10.16931/10.16931/1995-5464.2021-2-129-136
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Abstract
A literature review is devoted to the current classifications of liver failure that occurs in obstructive jaundice. Modern methods of diagnosis and criteria for determining the time of development and assessing the severity of this disease, model assessment and prognosis of acute liver failure are also considered. Attention is paid to assessing the severity and determining the timing of the development of liver failure in extrahepatic cholestasis. In addition, there is no common understanding of the role of liver compensatory mechanisms involved in the development of this condition. There are no generally accepted views on the surgical tactics of treatment of patients with obstructive jaundice complicated by liver failure. The limits of application of step-by-step treatment of patients with neoplastic obstructive jaundice have not been reliably determined. All these issues require further research, search for universal tools for assessing liver failure, predicting postoperative complications for choosing the optimal surgical treatment tactics.
About the Authors
M. Yu. Kabanov
North-Western State Medical University named after I.I. Mechnikov; Hospital for War Veterans
Russian Federation
Russian Federation
Maxim Yu. Kabanov – Doct. of Sci. (Med.), Professor of the Department of General Surgery; Head of Hospital
47, Piskarevsky ave., Saint Petersburg, 195067
21, Narodnaya str., St.-Petersburg, 194000
K. V. Sementsov
North-Western State Medical University named after I.I. Mechnikov; Hospital for War Veterans
Russian Federation
Russian Federation
Konstantin V. Sementsov – Doct. of Sci. (Med.), Associate Professor of the Department of General Surgery; Deputy Chief of Surgery
47, Piskarevsky ave., Saint Petersburg, 195067
21, Narodnaya str., St.-Petersburg, 194000
D. Yu. Boyarinov
North-Western State Medical University named after I.I. Mechnikov; Hospital for War Veterans
Russian Federation
Russian Federation
Dmitry Yu. Boyarinov – Сand. of Sci. (Мed.), Associate Professor of the Department of General Surgery; Surgeon-Oncologist
47, Piskarevsky ave., Saint Petersburg, 195067
21, Narodnaya str., St.-Petersburg, 194000
M. N. Myanzelin
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Marat N. Myanzelin – Resident of the Department of General Surgery
47, Piskarevsky ave., Saint Petersburg, 195067
M. Ya. Belikova
North-Western State Medical University named after I.I. Mechnikov; Hospital for War Veterans
Russian Federation
Russian Federation
Mariya Ya. Belikova – Сand. of Sci. (Мed.), Associate Professor of the Department of Radiology; Head of the Radiology Department
47, Piskarevsky ave., Saint Petersburg, 195067
21, Narodnaya str., St.-Petersburg, 194000
V. V. Alekseev
North-Western State Medical University named after I.I. Mechnikov; Hospital for War Veterans
Russian Federation
Russian Federation
Valеntin V. Alekseev – Сand. of Sci. (Мed.), Assistant of the Department of General Surgery; Surgeon-Oncologist
47, Piskarevsky ave., Saint Petersburg, 195067
21, Narodnaya str., St.-Petersburg, 194000
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For citations:
Kabanov M.Yu., Sementsov K.V., Boyarinov D.Yu., Myanzelin M.N., Belikova M.Ya., Alekseev V.V. Difficulties in assessing the severity of liver dysfunction for obstructive jaundice. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2021;26(2):129-136. (In Russ.) https://doi.org/10.16931/10.16931/1995-5464.2021-2-129-136
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ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)
ISSN 2408-9524 (Online)
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