Radiological Diagnostics of Bile Ducts Constrictive Lesions (Review of Literature)

Malakhanov, Vladlen; Seliverstov, P. A.

doi:10.12737/article_5955e6b64836e8.79871884

Acta Biomedica Scientifica

2017

DOI: 10.12737/article_5955e6b64836e8.79871884

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Radiological Diagnostics of Bile Ducts Constrictive Lesions (Review of Literature)

Vladlen Malakhanov¹,

P. A. Seliverstov²

Abstract: Заболевания гепатопанкреатобилиарной системы представляют собой актуальную клиническую проблему, поскольку встречаемость их неуклонно растёт. Проведён литературный обзор лучевых методов в диагностике окклюзионных поражений желчевыводящих путей. При использовании инструментальных методов исследования отмечены их диагностические возможности. Открытой темой остаётся оптимизация диагностического алгоритма состояния органов гепатобилиарной зоны в целях уточнения характера причин механической желтухи.

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Cited by 4 publications

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Percutaneous approach and rendezvous technique for the management of a cholangiolithiasis complicated by obstructive jaundice

et al. 2020

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Aim. To improve the results of surgical treatment of patients with cholelithiasis complicated by cholangiolithiasis and obstructive jaundice, using percutaneous technologies.Materials and methods. The results of treatment of 50 patients with cholelithiasis complicated by cholangiolithiasis and obstructive jaundice, which was not possible to use the endoscopic retrograde method of treatment was analyzed. Two representative clinical groups were formed according to the para-copy method: patients of the 1st group used the percutaneous method of treatment of cholangiolithiasis, patients of the 2nd group used the rendezvous technique.Results. The duration of the operation in the first clinical group was 85.60 ± 8.50 minutes, in the second – 64.80 ± 6.41 minutes. Intraoperative blood loss in both groups is minimal. The duration of postoperative hospital stay was: in the first group – 12.10 ± 1.25 days, in the second – 12.00 ± 1.25 days. In the first clinical group, the complication rate is 12%, in the second – 16%. No deaths were observed. The use of percutaneous laser lithotripsy allowed us to achieve the effectiveness of treatment of cholangiolithiasis in all patients in both clinical groups. The average consumption of a contrast agent per patient in the first group is 250.00 ml ± 25.00 ml, in the second – 370.00 ml ± 35.00 ml. Repeated debridement interventions in the first group were required by 2 (8%) patients, in the second – 8 (32%) patients.Conclusion. The frequency of complications, the duration of hospital stay and the effectiveness of treatment are comparable in both groups. If there is percutaneous access, hardware, instrumental and personnel support for percutaneous lithoextraction, there is no need to switch to a retrograde method for resolving cholangiolithiasis. The percutaneous method is an alternative minimally invasive method for treating patients with cholangiolithiasis and obstructive jaundice, which is impossible to perform “traditional” interventions or is associated with a high risk.

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Percutaneous approach and rendezvous technique for the management of a cholangiolithiasis complicated by obstructive jaundice

et al. 2020

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Possibilities of Multispiral computed Tomography in the Diagnosis of Occlusive Diseases of the Biliary Tract

Malakhanov¹,

Селивёрстов²,

Шевченко³

2019

Acta biomedica scientifica

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The main place in the diagnosis of obstructive jaundice belongs to radiation research methods. Their choice is determined by the nature of the disease, efficacy, safety and cost of the study. The article describes the computer-tomographic symptoms of malignant and benign diseases of the hepatopancreatoduodenal region.To study the possibilities of multispiral computed tomography in the diagnosis of diseases, the results of examination of 62 patients with manifestations of mechanical jaundice syndrome were analyzed on the basis of the surgical Department of the Irkutsk city clinical hospital N 1. The mean age of the examined patients was 56 ± 4.5 years. In the ratio of 2:1.4 women dominated. Biliary obstruction of benign genesis prevailed, which was found in 44 (61.1 %) patients, among which the most common cause was: choledocholithiasis (34 (54.8 %) patients), choledoch strictures (9 (12.5 %) patients) periampular diverticula (2 (1.9 %) patients). The reason for the obstruction of malignant genesis (18 (38.9 %) patients) were: adenocarcinomas of the head of the pancreas (11 (29.0 %) patients), bile duct tumor (5 (8.0 %) patients), volume formations of the duodenum (2 (3.2 %) patients).

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Interventional radiology techniques in the treatment of cholangiolithiasis: indications, efficacy, accessibility

Prazdnikov

Baranov

Zinatulin³

et al. 2021

Hirurg (Surgeon)

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Our days, the problem of treating complicated forms of cholelithiasis continues to be relevant despite the undoubted successes in the field of hepatobiliary surgery. Cholangiolithiasis is one of the most frequent and dangerous complications of cholelithiasis, it is detected in 8–26 % of patients with cholelithiasis. In some cases, it is impossible to perform an endoscopic retrograde method, these special situations require the development of new original minimally invasive methods for resolving cholangiolithiasis, which have all the advantages of «small access». The analysis of the treatment of 466 operated patients with cholelithiasis complicated by cholangiolithiasis and mechanical jaundice in the period from 2013 to 2019 was carried out. The patients were divided into 3 groups: 1 — the endoscopic retrograde method was used (n = 369), 2 — laparotomic access (n = 26), 3 — antegrade X-ray interventional method (n = 71). The results obtained allow us to conclude that the antegrade interventional radiology technique for the treatment of choledocholithiasis has a high clinical efficacy comparable to the endoscopic technique. The use of this treatment option avoids traumatic laparotomies and open interventions on the bile ducts. The use of method is justified in cases of impossibility of performing endoscopic intervention, or its ineffectiveness.

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Radiological Diagnostics of Bile Ducts Constrictive Lesions (Review of Literature)

Cited by 4 publications

References 14 publications

Percutaneous approach and rendezvous technique for the management of a cholangiolithiasis complicated by obstructive jaundice

Percutaneous approach and rendezvous technique for the management of a cholangiolithiasis complicated by obstructive jaundice

Possibilities of Multispiral computed Tomography in the Diagnosis of Occlusive Diseases of the Biliary Tract

Interventional radiology techniques in the treatment of cholangiolithiasis: indications, efficacy, accessibility

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