Interventional Radiology in Hepatobiliary Surgery

2003 ◽  
pp. 58-88
Author(s):  
Jerik Narimanovich Prazdnikov ◽  
Grigory Alexandrovich Baranov ◽  
Dmitry Ravilyevich Zinatulin ◽  
Vladimir Vladimirovich Naletov ◽  
Rifat Khamitovich Umyarov

Our days, the problem of treating complicated forms of cholelithiasis continues to be relevant despite the undoubted successes in the field of hepatobiliary surgery. Cholangiolithiasis is one of the most frequent and dangerous complications of cholelithiasis, it is detected in 8–26 % of patients with cholelithiasis. In some cases, it is impossible to perform an endoscopic retrograde method, these special situations require the development of new original minimally invasive methods for resolving cholangiolithiasis, which have all the advantages of «small access». The analysis of the treatment of 466 operated patients with cholelithiasis complicated by cholangiolithiasis and mechanical jaundice in the period from 2013 to 2019 was carried out. The patients were divided into 3 groups: 1 — the endoscopic retrograde method was used (n = 369), 2 — laparotomic access (n = 26), 3 — antegrade X-ray interventional method (n = 71). The results obtained allow us to conclude that the antegrade interventional radiology technique for the treatment of choledocholithiasis has a high clinical efficacy comparable to the endoscopic technique. The use of this treatment option avoids traumatic laparotomies and open interventions on the bile ducts. The use of method is justified in cases of impossibility of performing endoscopic intervention, or its ineffectiveness.


2017 ◽  
Vol 01 (01) ◽  
pp. 028-035
Author(s):  
Ronald Arellano ◽  
Haibo Shao

AbstractBiliary strictures are an uncommon yet challenging clinical problem. They are often iatrogenic in nature, usually the consequence of hepatobiliary surgery. Although the etiology may be benign, the clinical consequences, if unrecognized, can progress to ascending cholangitis, sepsis, and hepatic abscesses. Optimal treatment requires expertise and input from multiple specialties, including gastroenterology, surgery, infectious disease, and interventional radiology. Currently, available interventional techniques play a critical role in the management of patients with benign biliary strictures.


VASA ◽  
2017 ◽  
Vol 46 (6) ◽  
pp. 494-495 ◽  
Author(s):  
Peter Landwehr ◽  
Peter Reimer ◽  
Arno Bücker ◽  
Ansgar Berlis ◽  
Werner Weber

2019 ◽  
Vol 3 ◽  
pp. 13 ◽  
Author(s):  
Vishnu Chandra ◽  
Neil Jain ◽  
Pratik Shukla ◽  
Ethan Wajswol ◽  
Sohail Contractor ◽  
...  

Objectives: The integrated interventional radiology (IR) residency has only been established relatively recently as compared to other specialties. Although some preliminary information is available based on survey data five, no comprehensive bibliometric analysis documenting the importance of the quantity and quality of research in applying to an integrated-IR program currently exists. As the first bibliometric analysis of matched IR residents, the data obtained from this study fills a gap in the literature. Materials and Methods: A list of matched residents from the 2018 integrated-IR match were identified by contacting program directors. The Scopus database was used to search for resident research information, including total publications, first-author publications, radiology-related publications, and h-indices. Each matriculating program was categorized into one of five tiers based on the average faculty Hirsch index (h-index). Results: Sixty-three programs and 117 matched residents were identified and reviewed on the Scopus database. For the 2018 cycle, 274 total publications were produced by matched applicants, with a mean of 2.34 ± 0.41 publication per matched applicant. The average h-index for matched applicants was 0.96 ± 0.13. On univariate analysis, the number of radiology-related publications, highest journal impact factor, and h-index were all associated with an increased likelihood of matching into a higher tier program (P < 0.05). Other research variables displayed no statistical significance. All applicants with PhDs matched into tier one programs. Conclusions: Research serves as an important element in successfully matching into an integrated-IR residency. h-index, number of radiology-related manuscripts, and highest journal impact factors are all positively associated with matching into a higher tier program.


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