8/10/2019 BENIGN Jaundice Choledocholithiasis
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BENIGN jaundice choledocholithiasis - SURGICAL EMERGENCY
Pascal Rodica , Gr!"!# , $ear %I
Scienti&c ' Ser(iu Re)encu , M* , Associate Pro+essor ,
State Medical and
Pharaceutical Uni)ersit$ Nicolae .esteitanu , Chisinau ,
Re/u0lic o+ Moldo)a
Introduction' jaundice is due to route +ailures canalicul
intrahe/atic 0ile - duct 0iliar$
- di(esti)e tract , lar(el$ incriinated CBP stones 1+ten icteric
ani+estation o+
choledocholithiasis is set 2ith a dela$ that can 0e achie)ed
2ill cite onths, 2hich
si(ni&cantl$ increases the o/erati)e ris3 due to he/ato
-renal +ailure de)elo/ent
and installation an(iocolitelor su//urati)e hi(h rate o+
/osto/erati)e ortalit$ In
recent decades technolo(ical /ro(ress has led to successi)e
(enerations , /er+ected
, the e4ui/ent that ena0les e5cient e6/loration o+ the entire
0iliar$ tree Such
sur(ical act could 0ecoe ore co/le6 , e6ecutatind sa+e
inter)entions /re)iousl$
considered i/ossi0le Per+ored eer(enc$ sur(er$ /atients are
acco/anied 0$co/lications and lethalit$ reaches !7-89: , 8 ties ore
than echanical
jaundice a//roached as i+ the eer(enc$ /ost/oned
Pur/ose and o0jecti)es ' ;i(hli(htin( in+orational )alue
conte/orar$ dia(nostic
ethods in /re - and intrao/erati)e echanical jaundice 0eni(n
choledocholithiasis
and e in cases odditelor stenosis ? *raina(e
ethod 2as deterined 0$ CBP diaeter , so the diaeter @ !7 c 2as
chosen to
install an e6ternal drain t$/e ehr , +or a diaeter !7 c to
/er+or
coledocoduodeno - latero -lateral anastoosis Posto/erati)el$ ,
suind all the
data, 2e o0tained the dia(nosis o+ choledocholithiasis
associated coor0idities in
7 : o+ other adjacent structures ' chronic calculous
cholec$stitis , oddita stenosis ,
&stulas colecisto - duct stones Posto/erati)e co/lications
2ere recorded ostl$
in deco/ensated /atients Posto/erati)e ortalit$ 2as =# :
Conclusion' jaundice /resents indications +or eer(enc$ sur(ical
treatent dela$edi+ dia(nostic a//roach is not /ro(ressin( >8-7
da$s? , es/eciall$ 2hen adjacent
structures o)erla//in( disorders
