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Surgical approach for treatment of obstructive jaundice in patients of different age groups

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dc.contributor.author Kanikovskyi, O. Y. en
dc.contributor.author Karyi, Y. V. en
dc.contributor.author Dovgan, I. P. en
dc.contributor.author Shaprynskyi, Y. V. en
dc.contributor.author Androsov, S. I. en
dc.contributor.author Chereshniuk, I. L. en
dc.contributor.author Tomashevskyi, A. V. en
dc.date.accessioned 2023-12-30T20:55:32Z en
dc.date.available 2023-12-30T20:55:32Z en
dc.date.issued 2023
dc.identifier.citation Surgical approach for treatment of obstructive jaundice in patients of different age groups / O. Y. Kanikovskyi, Y. V. Karyi, I. P. Dovgan [et al.] // Wiadomości Lekarskie. – 2023. – Vol. 76, № 2. – P. 339–345. en
dc.identifier.other DOI: 10.36740/WLek202302114 en
dc.identifier.uri https://dspace.vnmu.edu.ua/123456789/6408 en
dc.description.abstract The aim: Assessment of the effectiveness of using minimally invasive and open methods of bile duct decompression for treatment of obstructive jaundice (OJ) by comparing complications in patients of different age groups. Materials and methods: We analyzed the results of surgical treatment of 250 patients with OJ. The patients were assigned to two groups: Group I (n = 100) consisting of young and middle-age patients, and Group II (n = 150) consisting of elderly, senile and long-living patients. The average age was 52 ± 6.0 years. Results: 62 (24.8%) Group I patients and 74 (29.6%) Group II patients were submitted to minimally invasive surgical interventions. 38 (15.2%) Group I patients and 76 (30.4%) Group II patients were submitted to open surgical interventions. Complications after minimally invasive surgery (n = 62) in Group I patients were observed in 2 (3.2%) cases, and in 4 (10.5%) cases after open surgeries (n = 38). Complications following minimally invasive interventions (n = 74) in Group II patients were registered in 5 (6.8%) cases, and in 9 (11.8%) cases following open operations (n = 76). 2 (2.6%) Group II patients died for transmural myocardial infarction. Conclusions: The use of minimally invasive surgical interventions for treatment of young and middle-aged OJ patients compared to patients of older age groups makes it possible to reduce the frequency of complications by 2.1 times, which is a statistically significant (p <0.05). The frequency of complications after open surgical interventions of bile ducts in patients of different age groups is not statistically significant (p >0.05). en
dc.language.iso en en
dc.publisher Wiadomości Lekarskie en
dc.subject endoscopic transpapillary interventions en
dc.subject laparoscopic lithoextraction en
dc.subject biliodigestive anastomoses en
dc.subject external drainage of biliary ducts en
dc.title Surgical approach for treatment of obstructive jaundice in patients of different age groups en
dc.type Article en


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