MODERN ASPECTS OF RESTORATION OF BILE FLOW IN CHOLELITHIASIS COMPLICATED BY OBSTRUCTIVE JAUNDICE

Abstract

Patients with surgical diseases of the liver and extrahepatic bile ducts, the obstruction of which is accompanied by obstructive jaundice, constitute the most severe group of patients in surgical hospitals. The main cause of obstruction of the biliary tract is choledocholithiasis, which accounts for 30-70%. In the era of dominance of endoscopic surgery in the treatment of patients with obstructive jaundice, the benefits of transpapillary interventions are undeniable. At the same time, there are opinions that traditional surgical interventions for this type of pathology are desperate operations. In this regard, the role and place of laparoscopic interventions in the treatment of patients with cholelithiasis complicated by obstructive jaundice at the present stage requires detailed investigation. The aim of this study is to improve the results of treatment of patients with cholelithiasis complicated with obstructive jaundice by optimizing strategic approaches to performing bile drainage interventions. For this purpose, we conducted a study including 54 patients divided into two groups. The study has demonstrated that cholelithiasis complicated by obstructive jaundice, is more likely in women, 94.4% of all cases, than in men, 5.6%. The restoration of the total bilirubin level occurs faster in the patients who had laparoscopic surgery. The duration of the postoperative pain syndrome was twice as less in the patients of the second group due to less extent of surgical trauma. Our data confirm the concept according to which preference should be given to minimally invasive methods of surgical intervention in patients with cholelithiasis complicated by obstructive jaundice.