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Ultima descărcare din IBN: 2023-11-27 21:37 |
SM ISO690:2012 HOTINEANU, Adrian. Ectazia căii biliare principale în megacoledocul de geneză benignă
. In: Curierul Medical, 2010, nr. 2(314), pp. 3-10. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 2(314) / 2010 / ISSN 1875-0666 | ||||||
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Pag. 3-10 | ||||||
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The Main Bile Duct Ectasia in the Treating Benign Megacholedoc
This paper analyzes 128 patients with benign megacholedocus who were treated in Surgical Clinic N 2 of the State Medical and Pharmaceutical
University “Nicolae Testemitanu” during the period 1992-2008. Definite diagnosis was established by using the following diagnostic algorithm:
ultrasound, ERCP with preoperative decompresion, in complicated cases MRI or CT, preoperative decompression via PST, naso-biliary drainage
or stenting. Complex therapeutical management permitted adequate preoperative preparing, determined by the decreasing or disappearing of
obstructive jaundice and the normalisation of metabolic and saline disturbance. Surgical treatment of benign megacholedocus depends on the
etiological factor and is limited to hepaticojejunostomy or hepaticojejunostomy and pancreatojejunostomy on doubled loop Roux and cephalic
pancreatoduodenectomy. Argumentation of algorithm application in this group of patients was demonstrated via satisfactory results, which
permitted complete or partial rehabilatation of these patients. In our statistics we recorded 3 cases of death 1,6 ± 1,1%, (p > 0,05), caused by acute
hepatorenal insufficiency and septical complication.
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Cuvinte-cheie bile ducts, anastomosis, Roux-en-Y, pancreatojejunostomy, jejunostomy |
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