Rationale for two-stage treatment of obstructive jaundice

In the surgical departments o f the city clinical hospital No. 1 in Tashkent, a retrospective analysis of the results o f examination and surgical treatment o f 124 patients with obstructive jaundice for the period from 2015 to 2019 was carried out. The age o f the patients ranged from 19 to 80 years.The serum bilirubin level in 59 (47,4%) patients was up to 100 mmol / L, in 48 (39,5%) — from 101 to 200 mmol / L, in 13 (10%) — from 201 to 300 mmol / l and in 4 (3.1%) — more than 300 mmol / l.The degree o f cholangiectasia in the examined patients was o f different severity. In 50 (40.1%)patients, the diameter o f the common bile duct was up to 1 cm in diameter, in 60 (48,9%) — from 1.1 to 1.5 cm, 9 (7.1%) — from 1.6 to 2 cm and in 5 (3.9%) -more than 2 cm.Among the causes of obstructive jaundice in the fi rst place — choledocholithiasis in 96 (77,4%) patients, of which 28 (22,6%) have a history of cholecystctomy; in second place — stenosis of the greater duodenal papilla(BDS) in 16 (12,9%); on the third — cancer of the pancreas or extrahepatic bile ducts, they are observed in 13 (10,4%) patients. When treating patients with obstructive jaundice, a two-stage tactic was followed.