[Surgical strategy in oncologic diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice]
| Autor: | I V, Iarema, Iu P, Popov, S Iu, Filippov, G G, Smirnov |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Aged 80 and over Male Ampulla of Vater Cachexia Cholangitis Common Bile Duct Neoplasms Injections Intralymphatic Middle Aged Anti-Bacterial Agents Pancreatic Neoplasms Jaundice Obstructive Postoperative Complications Bile Duct Neoplasms Bile Ducts Extrahepatic Drainage Humans Female Liver Failure Aged |
| Zdroj: | Vestnik khirurgii imeni I. I. Grekova. 162(3) |
| ISSN: | 0042-4625 |
| Popis: | In patients operated upon for oncological diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice the lethality was decreased in a group of patients with purulent cholangitis and high biliary hypertension by means of using a two-stage method of operative treatment, use of the dosaged decompression of the bile ducts with a gradually increased diameter of the drain from 4 to 7-8 mm being most effective. A good effect of the application of complex antibacterial therapy was also noted when using a direct endolymphatic administration and intracholedochal perfusion of antibiotics. It allowed twice as quick to arrest the inflammatory process in the bile ducts, to normalize the biochemical indices of blood, and to prepare the patient for the main stage of operation. |
| Databáze: | OpenAIRE |
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