Novosti
Khirurgii

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Year 2023 Vol. 31 No 1

SCIENTIFIC PUBLICATIONS

R.Y. ALIYEV 1, 2, À.Ì. JAFAROV 2, K.M. MAMMADOV 2, N.Y. BAYRAMOV 1

ENDOBILIARY SURGERY OF MECHANICAL JAUNDICE OF TUMOR GENESIS

Department of Surgical Diseases-I Azerbaijan Medical University 1,
Military Hospital of the Head Military-Medical Department of the State Security Service of the Republic of Azerbaijan 2, Baku,
Republic of Azerbaijan

Objective. To present the results of minimally invasive biliary endo-interventions in patients who categorically refused radical, extended and palliative open surgeries, as well as inoperable and incurable patients with obstructive jaundice of tumor origin.
Methods. A multi-stage diagnostic process with the aim of final verification of the underlying disease and determination of its stage has been carried out. In patients (n=38) with inoperable malignant neoplasms of the hepatopancreatoduodenobiliary zone complicated by obstructive jaundice, the minimally invasive endoscopic interventions were performed: nasobiliary, percutaneous-transhepatic biliary drainage, endoprosthetics of the extrahepatic bile ducts and electro- (photo) destruction of the large papilla.
Results. In contrast to plastic prostheses, after the use of metal self-expanding prostheses, the incidence of displacement, deformation, migration and blockages has significantly decreased. It was established that the best long-term results were obtained when choosing the most optimal endo-intervention, depending on the quality of its implementation, in cases of using metal stents in patients with a low localization of the tumor process and smaller sizes, a shorter anamnesis of obstructive jaundice, without concomitant diseases and dysfunction of vital organs, in persons of middle (40-50 yrs.) and relatively elderly (51-65 yrs) age.
Conclusion. In patients who categorically refused radical, vast and palliative open surgeries, as well as inoperable and incurable patients, minimally invasive endoscopic and percutaneous biliary interventions should be the method of choice for obstructive jaundice of malignant origin.

Keywords: obstructive jaundice, malignant tumor, nasobiliary drainage, arthroplasty of the common bile duct, tumor destruction
p. 48-56 of the original issue
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Address for correspondence:
Az 102, Republic of Azerbaijan,
Baku City, Badamdar, st. Mektebli, 1,
Military Hospital
tel: +99450 348 92 55
e-mail: endosmed@mail.ru
Jafarov Adil Musa oghlu
Information about the authors:
Aliyev Rufat Yashar oglu, Associate Professor of the Department of Surgical Diseases-1 of the Azerbaijan Medical University, Head of the Main Military Medical Department of the State Security Service of the Republic of Azerbaijan, Major General of the Medical Service, Baku, Republic of Azerbaijan.
http://orcid.org/0000-0002-5484-1468
Jafarov Adil Musa oglu, ordinator of the Department of Endoscopy of the Military Hospital of the Main Military Medical Department of the State Security Service of the Republic of Azerbaijan, Baku, Republic of Azerbaijan.
http://orcid.org/0000-0002-6232-0961
Mammadov Kanan Majnun oglu, Head of the Military Hospital of the Main Military Medical Department of the State Security Service of the Republic of Azerbaijan, Captain of the Medical Service, Baku, Republic of Azerbaijan.
http://orcid.org/0000-0001-8733-2099
Bayramov Nuru Yusif oglu, Corresponding Member. ANAS, Professor, Head of the Department of Surgical Diseases-1 of the Azerbaijan Medical University, Baku, Republic of Azerbaijan.
http://orcid.org/0000-0001-6958-5412
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