Annals of HPB Surgery最新文献_第2页

Spontaneous perforation in the bile duct system 胆管系统自发穿孔

Annals of HPB Surgery Pub Date : 2023-09-21 DOI: 10.16931/1995-5464.2023-3-75-85

B. V. Sigua, S. Y. Rakita, V. Y. Rud, E. G. Timofeeva, V. P. Zemlyanoy

{"title":"Spontaneous perforation in the bile duct system","authors":"B. V. Sigua, S. Y. Rakita, V. Y. Rud, E. G. Timofeeva, V. P. Zemlyanoy","doi":"10.16931/1995-5464.2023-3-75-85","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-3-75-85","url":null,"abstract":"Aim . To evaluate different therapeutic and diagnostic approaches in spontaneous bile duct perforation. Materials and methods . The present study involved the reports on spontaneous perforations in the bile duct system, published from 01.01.2000 to 01.06.2022 and selected by structured search in PubMed/Medline database. Results . As a result, 58 articles describing 71 patients were selected for the study. The most frequent symptoms of the disease included abdominal pain (92.9%), fever (39.4%), and jaundice (33%). The provisional diagnosis was made correctly in 52.1% of cases. The development of the disease was most often associated with choledocholithiasis (38%). Bile ducts perforation of the left hepatic lobe was revealed in 40.6% of cases, perforation of the common bile duct – in 35.5%. Bile duct perforation resulted in peritonitis in 42.2% of patients and bile accumulation or abscess in 30.9%. Encapsulated and intrahepatic accumulation of bile was found in 18.3% of cases. Management of perforations with development of encapsulated and intrahepatic bile accumulation included combined treatment, embracing percutaneous transhepatic drainage and endoscopic methods. Perforation of bile ducts with development of extensive forms of the disease required two-stage treatment. The first stage involved lavage of the abdominal cavity and decompression of the biliary tract. The second stage involved resective and reconstructive surgery to eliminate the cause of the perforation. The mortality rate was 5.6%. Conclusion . Spontaneous perforation in the bile duct system is a rare pathological state appeared as a complication of hepatopancreaticoduodenal diseases. Its management requires greater awareness of abdominal surgeons. The surgical strategy is based on correctly diagnosed and staged treatment tactics, which allows the incidence of complications and mortality rate to be reduced.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136237103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abstracts of foreign publications 外国出版物摘要

Annals of HPB Surgery Pub Date : 2023-09-21 DOI: 10.16931/1995-5464.2023-3-112-114

G. G. Akhaladze, D. G. Akhaladze

引用次数: 0

Hepatocellular carcinoma complicated by spontaneous rupture 肝细胞癌并发自发性破裂

Annals of HPB Surgery Pub Date : 2023-06-14 DOI: 10.16931/10.16931/1995-5464.2023-2-104-109

S. V. Tarasenko, U. V. Zhuchkova, M. V. Kalinin

引用次数: 0

Assessing and reducing severity of perioperative stress response to emergency surgery in patients with acute cholecystitis 评估和减轻急性胆囊炎患者围手术期应激反应的严重程度

Annals of HPB Surgery Pub Date : 2023-06-14 DOI: 10.16931/1995-5464.2023-2-30-40

A. Sazhin, T. V. Nechai, E. Chichin, A. Tyagunov, K. Melnikov-Makarchuk, A. K. Bogomolova

引用次数: 0

Enhanced recovery after surgery in chronic pancreatitis 提高慢性胰腺炎手术后的恢复

Annals of HPB Surgery Pub Date : 2023-06-14 DOI: 10.16931/1995-5464.2023-2-41-49

N. Y. Kokhanenko, O. G. Vavilova, K. Pavelets, A. Kashintcev, T. Morgoshiia, G. G. Nakopia, S. A. Danilov, Yuri V. Radionov, M. Ilyina, L. G. Shengelia, A. Perminova, Sh. R. Eshmetov

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Concomitant vascular and bile duct injury in cholecystectomy 胆囊切除术并发血管及胆管损伤

Annals of HPB Surgery Pub Date : 2023-06-14 DOI: 10.16931/10.16931/1995-5464.2023-2-95-103

S. Trifonov, Y. Kovalenko, T. Savelieva, B. Gurmikov, S. A. Bugaev, A. Chzhao, V. Vishnevsky

引用次数: 0

Morphological and ultrastructural changes in the common bile duct wall in stenting 胆管总管壁支架置入术中形态学和超微结构的改变

Annals of HPB Surgery Pub Date : 2023-06-14 DOI: 10.16931/1995-5464.2023-2-79-87

A. Shabunin, S. S. Lebedev, I. Chekmareva, O. A. Paklina, M. Tavobilov, A. A. Karpov, P. Drozdov, E. Gordienko

引用次数: 0

Efferent blood supply to the right hepatic lobe regarding its transplantation from a living donor: reconstruction features. Part 2 从活体捐赠者移植到右肝叶的传出血液供应：重建特征。第2部分

Annals of HPB Surgery Pub Date : 2023-06-14 DOI: 10.16931/1995-5464.2023-2-59-69

S. Voskanyan, I. Kolyshev, А. N. Bashkov, А. I. Artemiev, V. Rudakov, M. Shabalin, A. Maltseva, M. Popov, A. Sushkov, G. V. Vohmyanin

引用次数: 0

Enhanced recovery program in hepatobiliary surgery: experimental and clinical assessment 增强肝胆手术恢复方案:实验和临床评估

Annals of HPB Surgery Pub Date : 2023-06-14 DOI: 10.16931/1995-5464.2023-2-14-23

V. Darvin, A. Varganova, S. V. Onishchenko, E. Krasnov, E. V. Bubovich, N. Skalskaya

引用次数: 0

Nutritional support as a component of enhanced recovery program in hepatopancreatobiliary surgery 营养支持是肝胰外科强化康复计划的组成部分

Annals of HPB Surgery Pub Date : 2023-06-14 DOI: 10.16931/1995-5464.2023-2-50-58

I. Pasechnik, K. V. Agapov

{"title":"Nutritional support as a component of enhanced recovery program in hepatopancreatobiliary surgery","authors":"I. Pasechnik, K. V. Agapov","doi":"10.16931/1995-5464.2023-2-50-58","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-2-50-58","url":null,"abstract":"According to the literature review, a nutritional support for patients after hepatopancreoduodenal surgery requires a differentiated approach. The paper presents data on the experience in providing nutritional support to this kind of patients. It is necessary to stress that nutritional risk screening should be performed prior to surgical intervention. The nutrition is recommended to be adjusted to protein and energy needs of the patient, taking into account concomitant diseases. Products for sip feeding are the method of choice. Enteral nutrition is preferable in the postoperative period. The nutritional support for patients undergoing pancreatoduodenal resection is increasingly recognized, and a randomized clinical trial is to be carried out to evaluate the effectiveness of enteral and parenteral nutrition. As a component of the enhanced recovery program, nutritional support can optimize outcomes in patients who have undergone hepatopancreatoduodenal resection. The nutritional status of a patient should be mandatorily assessed before surgery. Perioperative correction of nutritional status implies continuity and a multidisciplinary approach.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44499247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0