Dependence of the morphofunctional state of the kidneys and liver on the level of bilirubinemia and alkaline phosphatase in the surgical treatment of cholestasis
https://doi.org/10.34680/2076-8052.2021.1(122).36-41
Abstract
The morphofunctional state of the kidneys and liver in patients with chronic cholestatic hepatitis has been studied. The patients underwent preoperative complex conservative therapy. In the presence of cholecystolithiasis, 62 patients underwent video-laparoscopic cholecystectomy. Moreover, for medical reasons, selective liver vagotomy, electrocoagulation of the liver with laparoscopic extraperitoneal hepatophrenopexy, while maintaining bilirubinemia at the level of 60–70 µmol/l, lymphovenous anastomosis was indicated in 48 patients. The functional state of the liver was assessed according to the results of biochemical blood tests. To study the functions of the patient, a simple urine test and Reberg—Tareev test were performed. It was revealed that there is a clear relationship between the functional indicators of the bilirubin level. Surgical treatment with preoperative preparation helps to improve the function of the liver and kidneys, but in chronic hepatitis of moderate to high activity it does not fully eliminates the electrolyte imbalance.
About the Authors
M. D. Kashaeva
Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
A. V. Proshin
Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
I. G. Proshina
Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
K. V. Gavrilova
Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
D. A. Shvetsov
Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
M. A. Sivaev
Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
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Review
For citations:
Kashaeva M.D., Proshin A.V., Proshina I.G., Gavrilova K.V., Shvetsov D.A., Sivaev M.A. Dependence of the morphofunctional state of the kidneys and liver on the level of bilirubinemia and alkaline phosphatase in the surgical treatment of cholestasis. Title in english. 2021;(1(122)):36-41. (In Russ.) https://doi.org/10.34680/2076-8052.2021.1(122).36-41
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