Хирургическая тактика при желчнокаменной болезни с осложнением механической желтухи

Аннотация

Analysis results was performed in 116 patients with cholelithiasis complicated by mechanical jaundice who were on the treatment in the city medical association between 2014 on 2016. As a supporters of the two-stage approach to the treatment of mechanical jaundice, the first stage we carried out decompression and sani-tation biliary tract. Preference gave endoscopic retrograde intervention. Endoscopic papillosphincterotomy carried out in 68 patients (58,6%) combined with choledocholithoextraction in 39 patients (57,3%). We consid-er, that at mechanical jaundice the best is two-stage approach with the using of minimally invasive treatments. Operation of choice is endoscopic retrograde intervention with the subsequent cholecystectomy with mini ac-cess. In the impossibility of the decompression is carried out drainage of biliary with the restoration of contin-uous passage of bile in the intestines with laparotomy after stabilization of the state of the patient