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V V Stukalov

Publications and source records attributed to V V Stukalov.

12 recordsLinked to original sources
PubMed1998

[Current approaches to the diagnosis and treatment of residual choledocholithiasis].

Residual calculi were removed by different methods in 704 patients aged 22-86 years having residual choledocholithiasis. The author considers non-operative eradication of it to be a preferable method for patients with the external drain of bile ducts, for patients without the drain endoscopic papillosphincterotomy (EPST) should be chosen. The removal of residual concrements with the Dormia basket through the external bile fistula gave positive results in 94.5% of cases. The effectiveness of EPST in removing the calculi without the external drain was 86%. Reoperations were performed in 9.5% of the patients. Long-term results were followed up in all the patients during 5 years: good long-term results after non-operable removal of the residual calculi through the external duct were from 92% during the first 3 years to 98% in the following 7-10 years.

Adult↗
PubMed1980

[Choledocholithiasis after cholecystectomy].

Concrements were found in the ducts of 172 patients subjected to secondary surgical interventions on bile ducts. The detailed analysis of the data failed to answer the question whether the stones could be formed immediately in the ducts without such conditions as a mechanical obstacle for the outflow of bile, the presence of foreign bodies and a big stump of the cystic duct. Such a formation of stones can take place in very few cases. The authors have shown that control cholangiography and especially choledochoscopy can reduce the danger to leave the stones in the ducts, but does not eliminate the danger completely. Nevertheless they think that now it is possible to lessen the indications for biliodigestive anastomoses in choledocholithiasis since the retained stones can be revealed within the first days after surgery and, as a rule, removed with instruments or by other methods using the drainage left in the ducts.

Cholecystectomy↗
PubMed1978

[Non-surgical removal of calculi left in the bile ducts].

The experience with non-surgical treatment of 8 patients with calculi left in the bile ducts in presence of external drainage of the hepatocholedochus is set forth. Various procedures were used: washing ofthe bile ducts, injection of heparinized physiological solution into the bile ducts and removal of the calculi with the help of Dormia's probe. Good results were obtained in all 8 cases. No repeated operations were needed.

Adult↗
PubMed1978

[Clinical evaluation of common bile duct drainage via the cystic duct stump after cholecystectomy for chronic calculous cholecystitis].

From target studies of the clinical value of choledochal drainage through the stump of the cystic duct by Halsted-Pikovsky method, following cholecystectomy for Courvosier's gallbladder without choledochotomy, the authors have come to the conclusion that such drainage does not improve the postoperative clinical course, while evolving an added risk of some complications.

Cholecystectomy↗
PubMed1976

[Large stump of the cystic duct].

The authors concluded that a large stump of the gall-bladder duct is of no independent importance as a cause of the affection. However, concretions may be formed in the stump, that was evident in three cases, therefore, the gall duct stump should be no more than 0.5 cm.

Cholecystectomy↗
PubMed1975

[External drainage and suture of the bile ducts following choledochotomy].

The authors report their experience with the use of a T-shape drainage in 258 choledochotomies, accomplished in 248 patients, and suturing of the common bile duct in 77 patients. The technic of preparation of a T-shape drainage, its fixation in the common bile duct and the postoperative management of patients with such drainages are described. The complications developed while using a T-shape drainage are analysed. Late sequelae of application of the drainage were taken into account after 219 operations, whereas in 163 patients intravenous cholangiography was performed after such drainage of bile ducts, the terms being longer than 3 years in 140 cases.

Bile↗