Personalization choosing the optimal surgical tactics in choledocholithiasis that complicated by acute cholangitis, based on risk assessment biliodigestive anastomosis failure


  • S.I. Savoljuk
  • V.O. Losjev
Keywords: acute cholangitis, polarization microscopy, phenol index (GF), step birefringence (Go), collagen fibers, integral differential scale

Abstract

The results of surgical treatment of 156 patients with choledocholithiasis, which complicated acute cholangitis. Studied indicators that proved define morphological and functional changes in the wall choledochitis determined and reversibility pathological changes: phenol index (GF), step birefringence (Go). In order to stratification of the risk of postoperative complications (anastomotic failure biliodigestive stitches) and differentiated approach to the choice of surgical correction of biliary hypertension phenomena developed scale integrated assessment of the degree of reversibility of structural changes in the wall choledochitis and risk possible failure biliodigestive anastomosis.

Published
2017-09-29
How to Cite
Savoljuk, S., & Losjev, V. (2017). Personalization choosing the optimal surgical tactics in choledocholithiasis that complicated by acute cholangitis, based on risk assessment biliodigestive anastomosis failure. Reports of Vinnytsia National Medical University, 20(1(1), 37-40. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/300