ROENTGEN-SURGICAL INTERVENTIONS IN COMPLEX TREATMENT OF PATIENTS WITH OBSTRUCTIVE JAUNDICE OF TUMOR GENESIS
Introduction. The treatment of patients with obstructive jaundice of tumor genesis remains an actual problem in emergency abdominal surgery.
Objective of study is evaluation of results of endovascular interventions combined with surgical treatment of patients with neoplastic lesions of hepatopancreatobiliary zone.
Methods: The results of endovascular treatment (percutaneous transhepatic biliary draining, biliary stenting, intra-arterial chemoembolization) of 174 patients with obstructive jaundice of tumor genesis are performed in the article.
Results: It was established that external percutaneous transhepatic biliary draining combined with biliary stenting in 26 patients (14,7%) and intra-arterial chemoembolization of tumor vessels in 24 (13,7%) patients allows us to reduce the serum bilirubin level and to achieve stabilization of the tumor process, that leads to improvement of the quality and duration of life in this group of patients.
Conclusions: Using of endovascular interventions in combination with surgical treatment leads to stabilization of the tumor process and allows us to perform radical surgery in 59 (33.9%) patients in future.
Yu. V. Avdosyev1,2, V. V. Boyko1, T. A. Gryshina1, O. Yu. Lavrentyeva1
1 GI “V. T. Zaycev Institute General and Urgent Surgery of NAMS of Ukraine”;
2Department of Oncology and children's Oncology KhMAPE, Kharkov, Ukraine
1. Авдосьев Ю. В. Методы интервенцион-ной радиологии в комплексном лечении различных заболеваний гепатопанкреатодуо-денальной зоны, осложненные механической желтухой // Променева діагностика, променева терапія. 2013. № 3-4. С. 38-45.
2. Алиев С. А. Причины возникновения наружных желчных свищей и их лечение // Вести хирургии им. Грекова. 1991. №6. С. 19-22.
3. Акбаров М. М., Касымов Ш. З., Струсский Л. П. Применение эндоскопических технологий у больных с ятрогенными повреждениями внепеченочных желчных протоков и наружными желчными свищами // Анналы хирургической гепатологии. 2008. №3. С.103-104.
4. Гаджакаева А. И., Меджидов Р. Т. Билиарный тракт и «быстрая декомпрессия»: пути решения проблемы // Альманах института хирургии имени А. В. Вишневского. 2010. Т. 5, № 1. С. 328.
5. Гальперин Э. И., Ветшев П. С. Руководство по хирургии желчных путей. Москва : Видар, 2006. 559 с.
6. Гранов А. М., Давыдов М. И. Интервенционная радиология в онкологии (пути развития и технологии): Научно-практическое издание. Санкт Петербург : Фолиант, 2007. 560 с.
7. Долгушин Б. И., Авалиани М. В., Буйденок Ю. В. Эндобилиарная интервенционная онкорадиология. Москва : ООО «Медицинское информационное агентство», 2004. 224 с.
8. Долшушин Б. И., Латютко Ю. И., Нечипай А. М. Антеградные эндобилиарные вмешательства в онкологии. Причины, профилактика и лечение осложнений. Москва : Практическая медицина, 2005. 176 с.
9. Ившин В. Г., Лукичев О. Д. Малоинвазивные методы декомпрессии желчных путей у больных механической желтухой. Тула: Гриф и К, 2003. 182 с.
10. Кокова Л. С., Капранова С. А., Долгушина Б. И. Сосудистое и внутриорганное стентирование. Руководство. Москва : Издательский Дом «Грааль», 2003. 384 с.
11. Медведев В. Е., Яцишин М. В., Негря Е. В. Методы интервенционной радиологии в диагностике и лечении больных обтурацион-ной желтухой опухолевого генеза // Променева діагностика, променева терапія. 2013. № 1-2. С. 57- 63.
12. Патютко Ю. И., Котельников А. Г. Хирургия рака органов билиопанкреатодуо-денальной зоны. Москва. : Медицина, 2007. 448 с.
13. Makino T., Fujitani K., Tsujinaka T. Role of percutaneous transhepatic biliary drainage in patients with obstructive jaundice caused by local - recurrence of gastric cancer // Hepato-gastroenterology. 2008. Vol. 55 (81). P. 54-57.
14. Quintero G. A., Patino J. F. Surgical management of benign strictures of the biliary tract // World J. Surg. 2001. Vol. 25 (10). P. 1245-1250.
15. Saluja S. S., Gulati M., Garg P. K. Endoscopic or percutaneous biliary drainage for gallbladder cancer: a randomized trial and quality of the life assessment // Clin Gastroenterol Hepatol. 2008. Vol. 6 (8). P. 944-950.
16. Savader S. J., Trerotola S. O., Merine D. S. Hemobilia after percutaneous transhepatic biliary drainage: treatment with transcatheter embolotherapy // J. Vasc. Interv. Radiol. 1992. Vol. 3. P. 345-352.
References:
1. Avdos’yev Yu. V. Metody interventsionnoi radiologii v kompleksnom lechenii razlichnykh zabolevanii gepatopankreatoduodenal'noi zony, oslozhnennye mekhanicheskoi zheltukhoi [Methods of interventional radiology in staged treatment of different diseases of hepato-pancreatobiliary zone, that are complicated with mechanical jaundice]. Promeneva dіagnostika, promeneva terapіya [Radiodiagnostics, radiotherapy]. 2013. № 3-4. С. 38-45.
2. Aliev S. A. Prichiny vozniknoveniya naruzhnykh zhelchnykh svishchei i ikh lechenie Vestnik khirurgii im. Grekova. [The reasons of appearance of biliary fistulas and their treatment. Vestnik Khirurgii im. I. I. Grekova [I.I. Grekov’s surgical herald]. 1991, 6, pp. 19-22. [in Russian]
3. Akbarov M. M., Kasimov Sh. Z., Strusskiy L. P. Primenenie endoskopicheskikh tekhnologii u bol'nykh s yatrogennymi povrezhdeniyami vnepechenochnykh zhelchnykh protokov i naruzhnymi zhelchnymi svishchami [Using of endoscopic technologies in patients with iatrogenic damages of biliary tract and external biliary fistulas]. Annaly khirurgicheskoy gepatologii [Annals of surgical hepatology]. 2008, №3, pp. 103-104. [in Russian]
4. Hadzhakaeva A. I., Medzhidov R. T. Biliarnyi trakt i «bystraya dekompressiya»: puti resheniya problemy [Biliary tract and “fast decompression”: the ways to solve a problem]. Almanakh institute khirurgii im A.V. Vishnevskogo [Almanac of A.V. Vihnevskiy Surgical Institute]. 2010, iss. 5, 1, p. 328.
5. Galperin E. I., Vetshev P. S. Rukovodstvo po khirurgii zhelchnykh putei [Manual surgery of the biliary tract]. Moscow, Vidar, 2006, 559 p.
6. Granov A. M., Lavidov M. I. Intervrntsionnaya radiologiya v oncologii (puti razvitiya i tekhnologii): nauchno-practicheskoe izdaniye [Interventional radiology in oncology (the ways of evaluation and technologies): scientific and practical issue]. SPB, Foliant, 2007, 560 p.
7. Dolgushin B. I., Avaliani M. V., Buydenok. Yu. V. Endobiliarnaya interventsionnaya onkoradiologiya [Endobiliary interventional oncoradiology]. Society with Limited Responsibility “Medical informational agency”, Moskow, 2004, 224 p.
8. Dolshushin B. I., Latyutko Ju. I., Nechipay A. M. Antegradnye endobiliarnye vmeshatelstva v onkologii. Prichiny, profilaktica i lechenie oslozhnenii [Antegrade endobiliary interventions in oncology. The reasons, prophylaxis and treatment of complications]. Moscow, Practical medicine, 2005, 176 p.
9. Ivshin V. G., Lukichev O. D. Maloinvazivnye metody dekompressii zhelchnykh putei u bolnykh mekhanicheskoi zheltukhoi [Miniinvasive methods of decompression of biliary tract in patients with mechanical jaundice]. Tula, Grif I K, 2003, 182 p.
10. Kokova L. S., Kapranova S. A., Dolgushina B.I. Sosudistoe i vnutriorgannoe stentirovanie. Rukovodstvo [Vascular and intraorgan stenting. Manual]. Moscow, Publishing House “Graal”, 2003, 384 p.
11. Medvedev V. E., Yatsishin M. V., Negrya E. V. Methods of interventional radiology in diagnostics and treatment of patients with mechanical jaundice of tumor genesis. Promeneva diagnostika, promeneva terapiya [Radiodiagnostics, radiotherapy]. 2013, 1-2, pp. 57-63. [in Russian]
12. Patjutko Ju. I., Kotelnikova A. G. Khirurgiya raka organov biliopancreato-duodenalnoy zoni [Surgery of cancer of organs of biliopancreatoduodenal zone]. Moscow, Medicine, 2007, 448 p.
13. Makino T., Fujitani K., Tsujinaka T. Role of percutaneous transhepatic biliary drainage in patients with obstructive jaundice caused by local - recurrence of gastric cancer. Hepatogastroenterology. 2008. Vol. 55 (81). P. 54-57.
14. Quintero G. A., Patino J. F. Surgical management of benign strictures of the biliary tract // World J. Surg. 2001. Vol. 25 (10). P. 1245-1250.
15. Saluja S. S., Gulati M., Garg P. K. Endoscopic or percutaneous biliary drainage for gallbladder cancer: a randomized trial and quality of the life assessment. Clin Gastroenterol Hepatol. 2008. Vol. 6 (8). P. 944-950.
16. Savader S. J., Trerotola S. O., Merine D. S. Hemobilia after percutaneous transhepatic biliary drainage: treatment with transcatheter embolotherapy. J. Vasc. Interv. Radiol. 1992. Vol. 3. P. 345-352.
Number of Views: 324
Category of articles:
Original articles
Bibliography link
Avdosyev Yu. V., Boyko V. V., Gryshina T. A., Lavrentyeva O. Yu. Roentgen-surgical interventions in complex treatment of patients with obstructive jaundice of tumor genesis. Nauka i Zdravoohranenie [Science & Healthcare]. 2015, 5, pp. 26-35.Related publications:
ANALYSIS OF CLINICAL AND DEMOGRAPHIC INDICATORS OF PATIENTS WITH PARKINSON'S DISEASE IN THE SOUTHERN REGION OF KAZAKHSTAN
A COMPARATIVE STUDY OF DRUG POLICY REGARDING ORPHAN DISEASES IN THE USA, THE EUROPEAN UNION, AND THE REPUBLIC OF KAZAKHSTAN
MUTATIONS IN CARDIAC ION CHANNEL GENES IN KAZAKHSTANI PATIENTS WITH LONG QT SYNDROME
GENETIC FEATURES OF CONGENITAL DYSFUNCTION OF THE ADRENAL CORTEX CAUSED BY 21-HYDROXYLASE DEFICIENCY IN PERSONS OF KAZAKH NATIONALITY
NON-MOTOR SYMPTOMS IN PARKINSON'S DISEASE USING THE EXAMPLE OF AKTOBE PATIENTS