[Prognosis of postoperative hepatic insufficiency in patients with mechanical jaundice]

The experience with surgical treatment of 389 patients having mechanic jaundice underlie this work. It was found that the level of bilirubinemia and patient's age are of great importance for prognostication of postoperative mechanic jaundice. The greater quantitative characteristics of the former the higher is the incidence of this complication. The duration of jaundice before the operation and the etiology of biliary obstruction are not always of a decisive importance. A combination of most prognostically unfavourable factors does not lead to obligatory development of hepatic insufficiency and, therefore, it does not warrant a cancellation of the operation for a patient with mechanic jaundice.