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[Outcomes of minimally invasive biliary decompression in obstructive jaundice].

AIM
To study postoperative complications and mortality after minimally invasive biliary decompression in patients with mechanical jaundice.


MATERIAL AND METHODS
Prospective analysis included 2.072 patients with mechanical jaundice who underwent differential biliary decompression depending on the cause, level of obstruction, severity of jaundice and patient's condition.


RESULTS
Relief of bilirubinemia and stabilization of the state were achieved in 1696 patients of the main group (98,6%) and in 328 (93.18%) patients of the control group. Mortality was similar in both groups: 8 (0.46%) and 2 (0.56%) patients. The best results were obtained in the main group for in-hospital and post-hospital complications after retrograde interventions (χ2=4.440821; df=0.891435; p<0.05) and post-hospital complications after antegrade interventions (χ2=35.52869; df= 1; p<0.05).


CONCLUSION
Differentiated approach to minimally invasive biliary decompression is followed by reduced postoperative morbidity.