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.
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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:
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