[Algorithm of differential and topical diagnosis of obturation jaundice and miniinvasive correction of the main bile diverting pathways passability]

The results of examination and treatment of 746 patients, suffering obturation jaundice of various origin, were analyzed. A diagnosis-treatment algorithm for obturation jaundice was elaborated. Two-staged treatment was conducted in the patients: endoscopic decompression of a bile diverting pathways for normalization of the hepatobiliary system organs function and operative intervention, using miniinvasive technologies. Introduction of the surgical tactics elaborated for a staged and rational conduction of a bile restoration operations with application of miniinvasive technologies have permitted to lower significantly the postoperative complications rate down to 7.5% and postoperative lethality--to 0.8%.