6. Surgical Tactics In Combined Pathologies Of The Biliary System

Authors

  • V.F. Farajli Azerbaijan Medical University, III Department of surgical diseases, Baku, Azerbaijan

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Abstract

For creation of system of the correct and timely choice of tactics at the combined pathologies of bili-ary system within 5 years researches on 80 patients were carried out. Cholecystectomy was performed in 20 patients on the background of chronic pancreatitis with a concomitant exacerbation of chronic stone cholecystitis,after which the developed pancreatitis in 40% of patients became the cause of death. For a thorough solution of the problem in the combined pathologies of the biliary system, the authors created an algorithm table due to the fact that the results of examinations and anamnestic data exceed the figure 35 and difficulties are created in the differential evaluation of such a number of indicators. The data is processed on the computer according to the created algorithm table. The use of 60 patients divided into 3 groups provides timely thorough diagnosis, adequate preventive measures corresponding to the detected pathological changes both before and during the operation, drainage of the bile ducts along with cholecys-tectomy provides early and persistent treatment of acute pancreatitis. Mortality among these patients is 5%. Also, the diagnosis of the algorithm program allows you to timely recognize the developed pathological and functional changes(in most cases, left aside) not only in the biliary system, but also in other parts of the digestive tract, as well as the implementation of the necessary measures during the operation. This in turn leaves no room for the development of pathological syndromes after surgery. The accuracy of the program in the diagnosis is 92.7%, the prognosis of the disease is 86.2%. The proposed surgical tactics are confi-dently offered to practitioners.

Keywords

biliary system, the concomitant pathology

References

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Published

2019-10-01

Issue

No. 3 (2019)

Section

Статьи