[Complex detoxication therapy in obstructive jaundice of tumor genesis]

An experience has been analyzed gained with conducting of detoxication therapy in 34 patients with mechanical jaundice of tumour genesis with making use of complexes of measures that include intravenous infusion therapy involving the use of multi-ogran plasma extenders and extracorporeal sorption methods (hemosorption, extracorporeal use of freeze-preserved sections of xenospleen). Correction of purulent cholangitis was done with III-IV generation cephalosporines, taking account of antibioticogrammes, combined with metrogig, and cholesorption with the sorbent polysorp combined with laferon. The adopted policy of administering complex detoxication therapy treatments in patients with obstructive jaundice of tumour genesis permitted the early postoperative case-fatality rate to be reduced by 8.4 per cent.