Pub Date : 2023-09-21DOI: 10.16931/1995-5464.2023-3-75-85
B. V. Sigua, S. Y. Rakita, V. Y. Rud, E. G. Timofeeva, V. P. Zemlyanoy
Aim . To evaluate different therapeutic and diagnostic approaches in spontaneous bile duct perforation. Materials and methods . The present study involved the reports on spontaneous perforations in the bile duct system, published from 01.01.2000 to 01.06.2022 and selected by structured search in PubMed/Medline database. Results . As a result, 58 articles describing 71 patients were selected for the study. The most frequent symptoms of the disease included abdominal pain (92.9%), fever (39.4%), and jaundice (33%). The provisional diagnosis was made correctly in 52.1% of cases. The development of the disease was most often associated with choledocholithiasis (38%). Bile ducts perforation of the left hepatic lobe was revealed in 40.6% of cases, perforation of the common bile duct – in 35.5%. Bile duct perforation resulted in peritonitis in 42.2% of patients and bile accumulation or abscess in 30.9%. Encapsulated and intrahepatic accumulation of bile was found in 18.3% of cases. Management of perforations with development of encapsulated and intrahepatic bile accumulation included combined treatment, embracing percutaneous transhepatic drainage and endoscopic methods. Perforation of bile ducts with development of extensive forms of the disease required two-stage treatment. The first stage involved lavage of the abdominal cavity and decompression of the biliary tract. The second stage involved resective and reconstructive surgery to eliminate the cause of the perforation. The mortality rate was 5.6%. Conclusion . Spontaneous perforation in the bile duct system is a rare pathological state appeared as a complication of hepatopancreaticoduodenal diseases. Its management requires greater awareness of abdominal surgeons. The surgical strategy is based on correctly diagnosed and staged treatment tactics, which allows the incidence of complications and mortality rate to be reduced.
{"title":"Spontaneous perforation in the bile duct system","authors":"B. V. Sigua, S. Y. Rakita, V. Y. Rud, E. G. Timofeeva, V. P. Zemlyanoy","doi":"10.16931/1995-5464.2023-3-75-85","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-3-75-85","url":null,"abstract":"Aim . To evaluate different therapeutic and diagnostic approaches in spontaneous bile duct perforation. Materials and methods . The present study involved the reports on spontaneous perforations in the bile duct system, published from 01.01.2000 to 01.06.2022 and selected by structured search in PubMed/Medline database. Results . As a result, 58 articles describing 71 patients were selected for the study. The most frequent symptoms of the disease included abdominal pain (92.9%), fever (39.4%), and jaundice (33%). The provisional diagnosis was made correctly in 52.1% of cases. The development of the disease was most often associated with choledocholithiasis (38%). Bile ducts perforation of the left hepatic lobe was revealed in 40.6% of cases, perforation of the common bile duct – in 35.5%. Bile duct perforation resulted in peritonitis in 42.2% of patients and bile accumulation or abscess in 30.9%. Encapsulated and intrahepatic accumulation of bile was found in 18.3% of cases. Management of perforations with development of encapsulated and intrahepatic bile accumulation included combined treatment, embracing percutaneous transhepatic drainage and endoscopic methods. Perforation of bile ducts with development of extensive forms of the disease required two-stage treatment. The first stage involved lavage of the abdominal cavity and decompression of the biliary tract. The second stage involved resective and reconstructive surgery to eliminate the cause of the perforation. The mortality rate was 5.6%. Conclusion . Spontaneous perforation in the bile duct system is a rare pathological state appeared as a complication of hepatopancreaticoduodenal diseases. Its management requires greater awareness of abdominal surgeons. The surgical strategy is based on correctly diagnosed and staged treatment tactics, which allows the incidence of complications and mortality rate to be reduced.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136237103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-21DOI: 10.16931/1995-5464.2023-3-112-114
G. G. Akhaladze, D. G. Akhaladze
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{"title":"Abstracts of foreign publications","authors":"G. G. Akhaladze, D. G. Akhaladze","doi":"10.16931/1995-5464.2023-3-112-114","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-3-112-114","url":null,"abstract":".","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136237285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.16931/10.16931/1995-5464.2023-2-104-109
S. V. Tarasenko, U. V. Zhuchkova, M. V. Kalinin
{"title":"Hepatocellular carcinoma complicated by spontaneous rupture","authors":"S. V. Tarasenko, U. V. Zhuchkova, M. V. Kalinin","doi":"10.16931/10.16931/1995-5464.2023-2-104-109","DOIUrl":"https://doi.org/10.16931/10.16931/1995-5464.2023-2-104-109","url":null,"abstract":"","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44582389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.16931/1995-5464.2023-2-30-40
A. Sazhin, T. V. Nechai, E. Chichin, A. Tyagunov, K. Melnikov-Makarchuk, A. K. Bogomolova
{"title":"Assessing and reducing severity of perioperative stress response to emergency surgery in patients with acute cholecystitis","authors":"A. Sazhin, T. V. Nechai, E. Chichin, A. Tyagunov, K. Melnikov-Makarchuk, A. K. Bogomolova","doi":"10.16931/1995-5464.2023-2-30-40","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-2-30-40","url":null,"abstract":"","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43549209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.16931/1995-5464.2023-2-41-49
N. Y. Kokhanenko, O. G. Vavilova, K. Pavelets, A. Kashintcev, T. Morgoshiia, G. G. Nakopia, S. A. Danilov, Yuri V. Radionov, M. Ilyina, L. G. Shengelia, A. Perminova, Sh. R. Eshmetov
{"title":"Enhanced recovery after surgery in chronic pancreatitis","authors":"N. Y. Kokhanenko, O. G. Vavilova, K. Pavelets, A. Kashintcev, T. Morgoshiia, G. G. Nakopia, S. A. Danilov, Yuri V. Radionov, M. Ilyina, L. G. Shengelia, A. Perminova, Sh. R. Eshmetov","doi":"10.16931/1995-5464.2023-2-41-49","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-2-41-49","url":null,"abstract":"","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44786010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.16931/10.16931/1995-5464.2023-2-95-103
S. Trifonov, Y. Kovalenko, T. Savelieva, B. Gurmikov, S. A. Bugaev, A. Chzhao, V. Vishnevsky
{"title":"Concomitant vascular and bile duct injury in cholecystectomy","authors":"S. Trifonov, Y. Kovalenko, T. Savelieva, B. Gurmikov, S. A. Bugaev, A. Chzhao, V. Vishnevsky","doi":"10.16931/10.16931/1995-5464.2023-2-95-103","DOIUrl":"https://doi.org/10.16931/10.16931/1995-5464.2023-2-95-103","url":null,"abstract":"","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43543662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.16931/1995-5464.2023-2-79-87
A. Shabunin, S. S. Lebedev, I. Chekmareva, O. A. Paklina, M. Tavobilov, A. A. Karpov, P. Drozdov, E. Gordienko
{"title":"Morphological and ultrastructural changes in the common bile duct wall in stenting","authors":"A. Shabunin, S. S. Lebedev, I. Chekmareva, O. A. Paklina, M. Tavobilov, A. A. Karpov, P. Drozdov, E. Gordienko","doi":"10.16931/1995-5464.2023-2-79-87","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-2-79-87","url":null,"abstract":"","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48102834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.16931/1995-5464.2023-2-59-69
S. Voskanyan, I. Kolyshev, А. N. Bashkov, А. I. Artemiev, V. Rudakov, M. Shabalin, A. Maltseva, M. Popov, A. Sushkov, G. V. Vohmyanin
{"title":"Efferent blood supply to the right hepatic lobe regarding its transplantation from a living donor: reconstruction features. Part 2","authors":"S. Voskanyan, I. Kolyshev, А. N. Bashkov, А. I. Artemiev, V. Rudakov, M. Shabalin, A. Maltseva, M. Popov, A. Sushkov, G. V. Vohmyanin","doi":"10.16931/1995-5464.2023-2-59-69","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-2-59-69","url":null,"abstract":"","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47931245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.16931/1995-5464.2023-2-14-23
V. Darvin, A. Varganova, S. V. Onishchenko, E. Krasnov, E. V. Bubovich, N. Skalskaya
{"title":"Enhanced recovery program in hepatobiliary surgery: experimental and clinical assessment","authors":"V. Darvin, A. Varganova, S. V. Onishchenko, E. Krasnov, E. V. Bubovich, N. Skalskaya","doi":"10.16931/1995-5464.2023-2-14-23","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-2-14-23","url":null,"abstract":"","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48075569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.16931/1995-5464.2023-2-50-58
I. Pasechnik, K. V. Agapov
According to the literature review, a nutritional support for patients after hepatopancreoduodenal surgery requires a differentiated approach. The paper presents data on the experience in providing nutritional support to this kind of patients. It is necessary to stress that nutritional risk screening should be performed prior to surgical intervention. The nutrition is recommended to be adjusted to protein and energy needs of the patient, taking into account concomitant diseases. Products for sip feeding are the method of choice. Enteral nutrition is preferable in the postoperative period. The nutritional support for patients undergoing pancreatoduodenal resection is increasingly recognized, and a randomized clinical trial is to be carried out to evaluate the effectiveness of enteral and parenteral nutrition. As a component of the enhanced recovery program, nutritional support can optimize outcomes in patients who have undergone hepatopancreatoduodenal resection. The nutritional status of a patient should be mandatorily assessed before surgery. Perioperative correction of nutritional status implies continuity and a multidisciplinary approach.
{"title":"Nutritional support as a component of enhanced recovery program in hepatopancreatobiliary surgery","authors":"I. Pasechnik, K. V. Agapov","doi":"10.16931/1995-5464.2023-2-50-58","DOIUrl":"https://doi.org/10.16931/1995-5464.2023-2-50-58","url":null,"abstract":"According to the literature review, a nutritional support for patients after hepatopancreoduodenal surgery requires a differentiated approach. The paper presents data on the experience in providing nutritional support to this kind of patients. It is necessary to stress that nutritional risk screening should be performed prior to surgical intervention. The nutrition is recommended to be adjusted to protein and energy needs of the patient, taking into account concomitant diseases. Products for sip feeding are the method of choice. Enteral nutrition is preferable in the postoperative period. The nutritional support for patients undergoing pancreatoduodenal resection is increasingly recognized, and a randomized clinical trial is to be carried out to evaluate the effectiveness of enteral and parenteral nutrition. As a component of the enhanced recovery program, nutritional support can optimize outcomes in patients who have undergone hepatopancreatoduodenal resection. The nutritional status of a patient should be mandatorily assessed before surgery. Perioperative correction of nutritional status implies continuity and a multidisciplinary approach.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44499247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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