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Главная Публикации из Facebook Резидуальный альвеококкоз левой доли печени
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С такими пациентами мы встречаемся часто, и ситуация стандартная, но, возможно, коллеги, Вам будет интересно.

Пациентка М., 45л.

Диагноз: Резидуальный альвеококкоз левой доли печени. Стриктура (послеоперационная ?) проксимальных внепеченочных желчных протоков. Механическая желтуха. Внутрипеченочная билиарная гипертензия. Состояние после правосторонней гемигепатэктомии в 2013 г.

Первым этапом выполнили ЭРХГ, папиллотомию, назобилиарное дренирование (т.к. было много сладжа в левом долевом). Через несколько суток промывания дренажа произведена его замена на пластиковый стент. Пациентка отпущена на 4 месяца.

[~DETAIL_TEXT] =>

С такими пациентами мы встречаемся часто, и ситуация стандартная, но, возможно, коллеги, Вам будет интересно.

Пациентка М., 45л.

Диагноз: Резидуальный альвеококкоз левой доли печени. Стриктура (послеоперационная ?) проксимальных внепеченочных желчных протоков. Механическая желтуха. Внутрипеченочная билиарная гипертензия. Состояние после правосторонней гемигепатэктомии в 2013 г.

Первым этапом выполнили ЭРХГ, папиллотомию, назобилиарное дренирование (т.к. было много сладжа в левом долевом). Через несколько суток промывания дренажа произведена его замена на пластиковый стент. Пациентка отпущена на 4 месяца.

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[LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Выводить на главной [~DEFAULT_VALUE] => ) [PDF_TO_IMG] => Array ( [ID] => 504 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Cделать фото из пдф для превью [ACTIVE] => Y [SORT] => 500 [CODE] => PDF_TO_IMG [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Cделать фото из пдф для превью [~DEFAULT_VALUE] => ) [BIBLIOGRAPHY_ALL] => Array ( [ID] => 597 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Список литературы [ACTIVE] => Y [SORT] => 500 [CODE] => BIBLIOGRAPHY_ALL [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Список литературы [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [ENDOEXPERT] => Array ( [ID] => 598 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => От редакции EndoExpert.ru [ACTIVE] => Y [SORT] => 500 [CODE] => ENDOEXPERT [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => От редакции EndoExpert.ru [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [SPONSOR] => Array ( [ID] => 599 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Материал опубликован при поддержке [ACTIVE] => Y [SORT] => 500 [CODE] => SPONSOR [DEFAULT_VALUE] => [PROPERTY_TYPE] => E [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 44 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Материал опубликован при поддержке [~DEFAULT_VALUE] => ) [ARCHIVE_PUBL] => Array ( [ID] => 600 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Архив материалов к публикации [ACTIVE] => Y [SORT] => 500 [CODE] => ARCHIVE_PUBL [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Архив материалов к публикации [~DEFAULT_VALUE] => ) [FILE_PUBL] => Array ( [ID] => 601 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Публикация в электронном виде [ACTIVE] => Y [SORT] => 500 [CODE] => FILE_PUBL [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Публикация в электронном виде [~DEFAULT_VALUE] => ) [BIBLIOGRAPHY] => Array ( [ID] => 602 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Список литературы [ACTIVE] => Y [SORT] => 500 [CODE] => BIBLIOGRAPHY [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => Y [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Список литературы [~DEFAULT_VALUE] => ) [VIDEO_DESCRIPTION] => Array ( [ID] => 603 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Описание видео [ACTIVE] => Y [SORT] => 500 [CODE] => VIDEO_DESCRIPTION [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Описание видео [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [PHOTOS] => Array ( [ID] => 604 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Иллюстрации [ACTIVE] => Y [SORT] => 500 [CODE] => PHOTOS [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => jpg, gif, bmp, png, jpeg [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => Y [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => Array ( [0] => 198219 [1] => 198220 [2] => 198221 [3] => 198222 [4] => 198223 [5] => 198224 [6] => 198225 ) [VALUE] => Array ( [0] => 65052 [1] => 65053 [2] => 65054 [3] => 65055 [4] => 65056 [5] => 65057 [6] => 65058 ) [DESCRIPTION] => Array ( [0] => МРХПГ [1] => Проксимальный блок [2] => Холангиограмма. Справа - кальцинированная альвеококковая полость [3] => Установлен назобилиарный дренаж [4] => Фистулография через дренаж [5] => Унилатеральное билиодуоденальное стентирование левой доли [6] => Стент типа "Amsterdam" 10Фр длиной 14см ) [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [0] => 65052 [1] => 65053 [2] => 65054 [3] => 65055 [4] => 65056 [5] => 65057 [6] => 65058 ) [~DESCRIPTION] => Array ( [0] => МРХПГ [1] => Проксимальный блок [2] => Холангиограмма. Справа - кальцинированная альвеококковая полость [3] => Установлен назобилиарный дренаж [4] => Фистулография через дренаж [5] => Унилатеральное билиодуоденальное стентирование левой доли [6] => Стент типа "Amsterdam" 10Фр длиной 14см ) [~NAME] => Иллюстрации [~DEFAULT_VALUE] => ) [INTRODUCTION] => Array ( [ID] => 605 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Введение [ACTIVE] => Y [SORT] => 500 [CODE] => INTRODUCTION [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Введение [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [ANNOTATION] => Array ( [ID] => 606 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Аннотация [ACTIVE] => Y [SORT] => 500 [CODE] => ANNOTATION [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Аннотация [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [CONCLUSION_SMALL] => Array ( [ID] => 607 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Короткий вывод [ACTIVE] => Y [SORT] => 500 [CODE] => CONCLUSION_SMALL [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Короткий вывод [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [DATE] => Array ( [ID] => 608 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Год [ACTIVE] => Y [SORT] => 500 [CODE] => DATE [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => Date [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 198218 [VALUE] => 01.01.2019 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 01.01.2019 [~DESCRIPTION] => [~NAME] => Год [~DEFAULT_VALUE] => ) [READING_TIME] => Array ( [ID] => 609 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Время прочтения в минутах [ACTIVE] => Y [SORT] => 500 [CODE] => READING_TIME [DEFAULT_VALUE] => [PROPERTY_TYPE] => N [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 198232 [VALUE] => 1 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 1 [~DESCRIPTION] => [~NAME] => Время прочтения в минутах [~DEFAULT_VALUE] => ) [SPEC] => Array ( [ID] => 726 [TIMESTAMP_X] => 2019-06-22 10:37:17 [IBLOCK_ID] => 54 [NAME] => Специальность [ACTIVE] => Y [SORT] => 500 [CODE] => SPEC [DEFAULT_VALUE] => [PROPERTY_TYPE] => E [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 28 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => Array ( [0] => 198229 ) [VALUE] => Array ( [0] => 46066 ) [DESCRIPTION] => Array ( [0] => ) [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [0] => 46066 ) [~DESCRIPTION] => Array ( [0] => ) [~NAME] => Специальность [~DEFAULT_VALUE] => ) [LOGO_LICENSE] => Array ( [ID] => 868 [TIMESTAMP_X] => 2019-07-18 13:33:09 [IBLOCK_ID] => 54 [NAME] => Логотип лицензии [ACTIVE] => Y [SORT] => 500 [CODE] => LOGO_LICENSE [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => directory [USER_TYPE_SETTINGS] => Array ( [size] => 1 [width] => 0 [group] => N [multiple] => N [TABLE_NAME] => creativecommons ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Логотип лицензии [~DEFAULT_VALUE] => ) [CLOSE_PUBLICATION] => Array ( [ID] => 869 [TIMESTAMP_X] => 2019-07-18 13:33:09 [IBLOCK_ID] => 54 [NAME] => Закрытая публикация [ACTIVE] => Y [SORT] => 500 [CODE] => CLOSE_PUBLICATION [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Закрытая публикация [~DEFAULT_VALUE] => ) [RAIT_SORT] => Array ( [ID] => 914 [TIMESTAMP_X] => 2019-08-26 17:33:02 [IBLOCK_ID] => 54 [NAME] => Рейтинг для сортировки (служебное) [ACTIVE] => Y [SORT] => 500 [CODE] => RAIT_SORT [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Рейтинг для сортировки (служебное) [~DEFAULT_VALUE] => ) [SEND_1] => [SEND_30] => [SEND_7] => [SEND_0] => [SPONSOR_BG] => ) [DISPLAY_PROPERTIES] => Array ( [AUTHOR] => Array ( [ID] => 313 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Автор [ACTIVE] => Y [SORT] => 500 [CODE] => AUTHOR [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => Y [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => Array ( [0] => 198212 ) [VALUE] => Array ( [0] => Людмила Маринова, Лидия Сюсина, Нина Зубова, Люба Козырь, Anastasiia Leonova, Deushev Nikolay ) [DESCRIPTION] => Array ( [0] => Институт хирургии им. А.В. Вишневского ) [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [0] => Людмила Маринова, Лидия Сюсина, Нина Зубова, Люба Козырь, Anastasiia Leonova, Deushev Nikolay ) [~DESCRIPTION] => Array ( [0] => Институт хирургии им. А.В. 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Публикации из Facebook: Резидуальный альвеококкоз левой доли печени

1 мин
Авторы: Людмила Маринова, Лидия Сюсина, Нина Зубова, Люба Козырь, Anastasiia Leonova, Deushev Nikolay 1 2019г.
Об авторах: 1. Институт хирургии им. А.В. Вишневского
Иллюстрация №1: МРХПГ
Иллюстрация №2: Проксимальный блок
Иллюстрация №3: Холангиограмма. Справа - кальцинированная альвеококковая полость
Иллюстрация №4: Установлен назобилиарный дренаж
Иллюстрация №5: Фистулография через дренаж
Иллюстрация №6: Унилатеральное билиодуоденальное стентирование левой доли
Иллюстрация №7: Стент типа "Amsterdam" 10Фр длиной 14см
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С такими пациентами мы встречаемся часто, и ситуация стандартная, но, возможно, коллеги, Вам будет интересно.

Пациентка М., 45л.

Диагноз: Резидуальный альвеококкоз левой доли печени. Стриктура (послеоперационная ?) проксимальных внепеченочных желчных протоков. Механическая желтуха. Внутрипеченочная билиарная гипертензия. Состояние после правосторонней гемигепатэктомии в 2013 г.

Первым этапом выполнили ЭРХГ, папиллотомию, назобилиарное дренирование (т.к. было много сладжа в левом долевом). Через несколько суток промывания дренажа произведена его замена на пластиковый стент. Пациентка отпущена на 4 месяца.

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