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Diagnosis and surgical treatment of obstructive jaundice in benign diseases
Authors:A A Cherniavski?  K I Troitski?  S A Kasu'mian  A N Shitov  V V Mezinov
Abstract:The article analyses the results of the diagnosis and surgical treatment of obstructive jaundice caused by benign diseases in 279 patients. Cholelithiasis was the cause of obstructive jaundice in 82.4% of patients; in 30.3% of cases the clinical symptomatology of the disease was atypical due to which the patients were at first placed erroneously in hospitals for infectious diseases. Endoscopic methods of examination proved to be most informative: the informativeness of ERP was 91%, that of combined laparoscopy--98.5%. Choledochoduodenostomy is the operation of choice in choledocholithiasis, and double drainage after O.B. Milonov--in combination of obstructive choledocholithiasis with papillostenosis.
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