Percutaneous transhepatic cholangiostomy in children
- Authors: Melekhina O.V.1, Sokolov Y.Y.2,3, Efremenkov A.M.2,3, Solodinina E.N.2,4, Zykin A.P.2,3, Utkina T.V.3, Barckaja K.A.3
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Affiliations:
- Loginov Moscow Clinical Research and Practical Center
- Central Clinical Hospital with Out-patient Unit, Department of Presidential Affairs of the President of the Russian Federation
- Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation
- Central State Medical Academy, Department of Presidential Affairs of the President of the Russian Federation
- Issue: Vol 27, No 5 (2023)
- Pages: 331-337
- Section: ORIGINAL STUDY
- Submitted: 20.01.2023
- Accepted: 05.03.2023
- Published: 07.12.2023
- URL: https://jps-nmp.ru/jour/article/view/579
- DOI: https://doi.org/10.55308/1560-9510-2023-27-5-331-337
- ID: 579
Cite item
Abstract
Introduction. Congenital malformations of the bile ducts, complicated course of cholelithiasis, strictures of biliodigestive anastomoses, tumors of the pancreatobiliary zone can lead to mechanical jaundice. It is not always possible to perform unloading cholecystostomy for the urgent bile derivation, to stent bile ducts with retrograde endoscopy; more so, to perform radical surgery under hyperbilirubinemia is a risky intervention that can cause complications. Then, percutaneous transhepatic cholangiostomy becomes a method of choice. We present our own experience of interventional surgical procedures on the biliary ducts in children with biliary obstruction.
Material and methods. 14 patients, aged 6–17 years , who had 47 interventions were included in the study.
Results. In all cases, percutaneous transhepatic cholangiostomy was successful and stopped biliary hypertension. Stricture recanalization after balloon dilation was successful in 4 patients with hepaticoejunoanastomosis stenosis. Puncture neoanastomosis of the disconnected posterior-sectorial duct was performed in 2 patients. External drainage of the bile ducts with subsequent radical treatment was performed in 10 patients; the “Rendez-vous” technique - in 1 patient.
Conclusion. Interventional surgical procedures on the bile ducts in children is an effective method of treatment in various clinical situations leading to mechanical jaundice. In some cases, it can effectively stop biliary hypertension. And such methods as recanalization of strictures and puncture neoanastomosis can be a final minimally invasive technique for treating disorders of bile outflow.
Full Text
About the authors
Olga V. Melekhina
Loginov Moscow Clinical Research and Practical Center
Email: melekhina530@gmail.com
ORCID iD: 0000-0002-3280-8667
Россия, 111123 Moscow
Yu. Y. Sokolov
Central Clinical Hospital with Out-patient Unit, Department of Presidential Affairs of the President of the Russian Federation; Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation
Email: sokolov-surg@yandex.ru
ORCID iD: 0000-0003-3831-768X
Россия, 121359 Moscow; 125993 Moscow
A. M. Efremenkov
Central Clinical Hospital with Out-patient Unit, Department of Presidential Affairs of the President of the Russian Federation; Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation
Author for correspondence.
Email: efremart@yandex.ru
ORCID iD: 0000-0002-5394-0165
Head of the Pediatric Surgery Department, Central Clinical Hospital with Out-patient Unit, Department of Presidential Affairs of the President of the Russian Federation
Россия, 121359 Moscow; 125993 MoscowE. N. Solodinina
Central Clinical Hospital with Out-patient Unit, Department of Presidential Affairs of the President of the Russian Federation; Central State Medical Academy, Department of Presidential Affairs of the President of the Russian Federation
Email: solodinina@gmail.com
ORCID iD: 0000-0002-5462-2388
Россия, 121359 Moscow; 121359 Moscow
A. P. Zykin
Central Clinical Hospital with Out-patient Unit, Department of Presidential Affairs of the President of the Russian Federation; Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation
Email: alr-z@yandex.ru
ORCID iD: 0000-0003-3551-1970
SPIN-code: 4048-7765
Россия, 121359 Moscow; 125993 Moscow
T. V. Utkina
Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation
Email: efremart@yandex.ru
Россия, 125993 Moscow
K. A. Barckaja
Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation
Email: efremart@yandex.ru
Россия, 125993 Moscow
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