[The choice of surgical strategy for patients with obstructive jaundice and high risk of multi-organ insufficiency syndrome].
We examined 128 patients with obstructive jaundice of non-tumoral genesis that were surgically treated. We studied the immune status and plasma concentration of interleukine-8 in pre-operation period in order to predict the polyorganic insufficiency (PI) risk. Depending on the results obtained, patients were divided into groups defined as those of low or high risk of PI. This permitted to apply differentiated treatment with the use of multi-grade surgical intervention and extracorporal detoxication. This contributed to decrease of post-operative complications rate and mortality.
Veligostkiĭ
N N
NN
Veligotsiĭ
A N
AN
Obuobi
R B
RB
Okleĭ
D V
DV
Maslov
S P
SP
Komarchuk
V V
VV
D002779:Cholestasis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D007565:Jaundice; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000517:prevention & control*; D011183:Postoperative Complications / Q000401:mortality; D012307:Risk Factors; D014463:Ultrasonography