A5081449060- Gallbladder and Bile Duct Disorders
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Pancreatic and Hepatic Oncology Research
- Hepatocellular Carcinoma Treatment and Prognosis
- Pediatric Hepatobiliary Diseases and Treatments
- Abdominal Trauma and Injuries
- Liver Disease Diagnosis and Treatment
- Appendicitis Diagnosis and Management
Moscow Clinical Scientific Center
2018-2025
Aim . To evaluate the treatment outcomes for patients with true type IV portal cholangiocarcinoma according to Bismuth–Corlette classification. Materials and methods The study involved of 272 2014–2022. tumors were initially diagnosed in 59 patients. Results Upon assessing anatomy bile duct confluence using MRI cholangiography, verified only 22 In other cases, extent tumor process was overestimated due different anatomical configurations confluence. Seven (33%) underwent surgery, R0...
Currently, the strategy for preoperative management of patients with malignant obstructive jaundice is not defined. The indications biliary drainage procedures, choice technique and duration are still disputable. Analysis international trials revealed that routine procedures recommended. in resectable tumors determined considering severity jaundice, cholangitis, dates major surgery Bismuth-Corlette tumor type case proximal stricture. retrograde or antegrade depends on stricture (distal...
Aim. To analyze complications of percutaneous transhepatic cholangiostomy depending on biliary obstruction level and drainage type. Material methods. Percutaneous was carried out in 974 patients with mechanical jaundice different genesis. External predominantly performed for distal obstruction, external-internal suprapapillary – proximal obstruction. Strictures biliodigestive anastomosis were managed using balloon dilatation long-term drainage. Results. Overall morbility 19.1%. Significant...
The management of biliary decompression in malignant hilar carcinoma remains controversial. This review shows the most relevant aspects endoprosthetics for proximal obstruction, including necessity stenting and morphological verification before radical surgery, selection approach to drain etc. main contradictions ways solve them are presented this article, based on evidence researches, international expert consensus conferences.
Aim. To analyze radiofrequency ablation per se and in combination with other X-ray surgical procedures patients liver bile ducts malignancies. Material methods. Radiofrequency was used three groups: percutaneous intervention or resection – group 1 (n = 111); combined intra-arterial chemoembolization 3) 2; RFA followed by right portal vein embolization (RALPPES) order to induce hypertrophy enable 3 20). Results. There were no recurrences after ablation. Two-year survival 55% hepatocellular...
Aim. To evaluate the effectiveness of percutaneous ALPPS as a method for preventing post-resection liver failure. Materials and methods. The methodology involved retrospective study results portovenous embolization radiofrequency assisted partition with portal vein (PRALLPS), in case future volume <40% . degree hypertrophy remnant its rate were assessed two groups. Complications manipulation frequency postresection hepatic failure studied. Results. In first stage, portenous was...
Aim. To demonstrate the first results of work on database created to assess long-term treatment patients with posttraumatic biliary strictures and develop a unified approach management these patients. Materials methods. “The register post-traumatic bile ducts in Russia CIS countries” was 2016. It is software for computer that provides opportunity detailed registration data analysis large number Results. From 2016 2021, 132 were entered into register. Long-term traced 49 (60.5%) minimum...