Surgical approach for treatment of obstructive jaundice

Abstract

Obstructive jaundice (OJ) patients account for one of the most challenging categories of patients with bdominal pathologies, with a share in the emergency surgery of 2.6-23.7%. Along with significant advancement in treatment of OJ patients, biliary decompression is often accompanied by development of post-operative liver failure. Biliary surgery today sustains the trend of multistage minimally invasive interventions, considering the severity of OJ patients’ condition. Yet, gaining an experience, surgeons have been increasingly using the one-stage treatment approach. However, the pivotal question of biliary surgery remains a choice of bile ducts decompression technique for patients with different duration of OJ and bilirubin count.