Immediate and long-term results of pre-operative care for nontumoral obstructive jaundice

Abstract

The analysis of clinical data of 154 patients were treated for obstructive jaundice of non-tumor etiology has been carried out. Depending on the amount of pre-operative care, the patients were divided into two groups. Patients of the first group in the amount of 82 were operated on urgently after a short-term traditional care. Patients of the second group in the amount of 72 were operated on after a complex multicomponent pre-operative care proposed by the authors and lasted 3–7 days. The volume of surgical interventions in both groups was comparable, cholecystectomy was performed, as well as, according to indications, removal of stones from the ducts and drainage of the biliary tract. In patients with obstructive jaundice without pre-operative care, there was no complete normalization of homeostatic parameters. In the group of patients with complex pre-operative care, the post-operative period was more favorable and homeostasis indicators returned to normal. A comparative analysis of the state of liver and kidney functions in a patient after emergency biliodecompressive surgical interventions and the same volume of operations after multicomponent pre-operative care indicates a fourfold decrease in mortality in the second group of patients, an improvement in liver function and, thereby, contributing to the normalization or improvement of electrolyte balance and functional capacity of the kidneys.