DIFFICULTIES OF DIAGNOSTICS AND CHOICE OF SURGICAL APPROACH IN PATIENTS WITH DUCTAL CHOLANGIOCARCINOMA
Diagnostics and treatment of ductal cholangiocarcinoma is an actual and complicated problem of modern hepatopancreatobiliary surgery. The data of preoperative examination using modern methods weren’t always well-defined. This fact didn’t allow clinicians to choose the common treatment strategy and i...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Pavlov First Saint Petersburg State Medical University
2017-02-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/295 |
| _version_ | 1797877700229070848 |
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| author | D. A. Granov I. V. Timergalin |
| author_facet | D. A. Granov I. V. Timergalin |
| author_sort | D. A. Granov |
| collection | DOAJ |
| description | Diagnostics and treatment of ductal cholangiocarcinoma is an actual and complicated problem of modern hepatopancreatobiliary surgery. The data of preoperative examination using modern methods weren’t always well-defined. This fact didn’t allow clinicians to choose the common treatment strategy and improve the prognosis. The main problem of diagnostic stage was a low morphological verification of the disease, so the diagnosis was confirmed in 17,5% patients. The article presents the results of examination and surgical treatment of 40 patients with suggested diagnosis of ductal cholangiocarcinoma. Indications to operation were based on examination data (CT, MRI, cholangiography, angiography, tumor markers tests) and signs of complications (jaundice, cholangitis, liver abscess). The absence of morphological verification couldn’t be the reason for rejection from the operation. Radical operative intervention had a distinctive advantage. The surgery gave the chance for positive long-term prognosis in case of cancer and allowed doctors to cure patients in case of benign tumor. Functional state of the liver and morphological changes of the removed share should be considered in case of hilus carcinoma. This approach has to be strictly individual and medical care should be applied in special medical centers. |
| first_indexed | 2024-04-10T02:22:26Z |
| format | Article |
| id | doaj.art-16d170aa2c7a4ea3875dcdf165394dfb |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:22:26Z |
| publishDate | 2017-02-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-16d170aa2c7a4ea3875dcdf165394dfb2023-03-13T08:09:11ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252017-02-011761565910.24884/0042-4625-2017-176-1-56-59294DIFFICULTIES OF DIAGNOSTICS AND CHOICE OF SURGICAL APPROACH IN PATIENTS WITH DUCTAL CHOLANGIOCARCINOMAD. A. Granov0I. V. Timergalin1Russian research Centre of Radiology and Surgical TechnologiesRussian research Centre of Radiology and Surgical TechnologiesDiagnostics and treatment of ductal cholangiocarcinoma is an actual and complicated problem of modern hepatopancreatobiliary surgery. The data of preoperative examination using modern methods weren’t always well-defined. This fact didn’t allow clinicians to choose the common treatment strategy and improve the prognosis. The main problem of diagnostic stage was a low morphological verification of the disease, so the diagnosis was confirmed in 17,5% patients. The article presents the results of examination and surgical treatment of 40 patients with suggested diagnosis of ductal cholangiocarcinoma. Indications to operation were based on examination data (CT, MRI, cholangiography, angiography, tumor markers tests) and signs of complications (jaundice, cholangitis, liver abscess). The absence of morphological verification couldn’t be the reason for rejection from the operation. Radical operative intervention had a distinctive advantage. The surgery gave the chance for positive long-term prognosis in case of cancer and allowed doctors to cure patients in case of benign tumor. Functional state of the liver and morphological changes of the removed share should be considered in case of hilus carcinoma. This approach has to be strictly individual and medical care should be applied in special medical centers.https://www.vestnik-grekova.ru/jour/article/view/295ductal cholangiocarcinomadiagnosticssurgical strategy |
| spellingShingle | D. A. Granov I. V. Timergalin DIFFICULTIES OF DIAGNOSTICS AND CHOICE OF SURGICAL APPROACH IN PATIENTS WITH DUCTAL CHOLANGIOCARCINOMA Вестник хирургии имени И.И. Грекова ductal cholangiocarcinoma diagnostics surgical strategy |
| title | DIFFICULTIES OF DIAGNOSTICS AND CHOICE OF SURGICAL APPROACH IN PATIENTS WITH DUCTAL CHOLANGIOCARCINOMA |
| title_full | DIFFICULTIES OF DIAGNOSTICS AND CHOICE OF SURGICAL APPROACH IN PATIENTS WITH DUCTAL CHOLANGIOCARCINOMA |
| title_fullStr | DIFFICULTIES OF DIAGNOSTICS AND CHOICE OF SURGICAL APPROACH IN PATIENTS WITH DUCTAL CHOLANGIOCARCINOMA |
| title_full_unstemmed | DIFFICULTIES OF DIAGNOSTICS AND CHOICE OF SURGICAL APPROACH IN PATIENTS WITH DUCTAL CHOLANGIOCARCINOMA |
| title_short | DIFFICULTIES OF DIAGNOSTICS AND CHOICE OF SURGICAL APPROACH IN PATIENTS WITH DUCTAL CHOLANGIOCARCINOMA |
| title_sort | difficulties of diagnostics and choice of surgical approach in patients with ductal cholangiocarcinoma |
| topic | ductal cholangiocarcinoma diagnostics surgical strategy |
| url | https://www.vestnik-grekova.ru/jour/article/view/295 |
| work_keys_str_mv | AT dagranov difficultiesofdiagnosticsandchoiceofsurgicalapproachinpatientswithductalcholangiocarcinoma AT ivtimergalin difficultiesofdiagnosticsandchoiceofsurgicalapproachinpatientswithductalcholangiocarcinoma |