Биология ва тиббиёт муаммолари 2025 №5 (165)
Subject of the article
CLINICAL JUSTIFICATION OF MINIMALLY INVASIVE TECHNOLOGIES FOR BILE DUCT DRAINAGE IN OBSTRUCTIVE JAUNDICE (89-96)
Authors
Davlatov Salim Sulaimonovich, Khamidov Obid Abdurakhmanovich, Nurmurzaev Zafar Narbay ugli
Institution
1 - Bukhara State Medical Institute, Republic of Uzbekistan, Bukhara; 2 - Samarkand State Medical University, Republic of Uzbekistan, Samarkand
Abstract
Benign obstructive jaundice represents a serious medical problem requiring a comprehensive approach to diagnosis and treatment. This study analyzes the treatment results of 424 patients with benign obstructive jaundice from 2015 to 2024. The main group consisted of 296 patients who underwent a differentiated approach using staged treatment methods with priority application of minimally invasive technologies. The comparison group consisted of 128 patients who received traditional treatment. The study showed that the application of a comprehensive diagnostic algorithm, including modern non-invasive radiological diagnostic methods combined with invasive puncture and endoscopic techniques, allowed bile duct decompression to be performed in 73.64% of patients in the main group. Doppler studies revealed a significant decrease in portal vein blood flow velocity in class B and C obstructive jaundice. The application of differentiated surgical tactics using pathogenetically justified minimally invasive decompressive interventions contributed to a reduction in postoperative complications from 26.6% to 19.5% and mortality from 6.5% to 4.05%. The study results demonstrate the effectiveness of minimally invasive technologies in the comprehensive treatment of patients with benign obstructive jaundice.
Key words
Obstructive jaundice, minimally invasive technologies, bile duct drainage, endoscopic papillosphincterotomy, percutaneous transhepatic cholangiostomy.: Echinococcosis of the liver, relapse, surgical treatment, closed echinococcectomy, multispiral computed tomography.
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