Susak YM, Markulan LL, Lobanov SM, Palitsya RY, Rudyk MP, Skivka LM. Effectiveness of a new approach to minimally invasive surgery in palliative treatment of patients with distal malignant biliary obstruction. World J Gastrointest Surg 2023; 15(4): 698-711 [PMID: 37206076 DOI: 10.4240/wjgs.v15.i4.698]
Corresponding Author of This Article
Mariia P Rudyk, PhD, Associate Professor, Department of Microbiology and Immunology, Taras Shevchenko National University of Kyiv, 60 Volodymyrska St, Kyiv 01033, Ukraine. rosiente@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Apr 27, 2023; 15(4): 698-711 Published online Apr 27, 2023. doi: 10.4240/wjgs.v15.i4.698
Effectiveness of a new approach to minimally invasive surgery in palliative treatment of patients with distal malignant biliary obstruction
Yaroslav M Susak, Leonid L Markulan, Serhii M Lobanov, Roman Y Palitsya, Mariia P Rudyk, Larysa M Skivka
Yaroslav M Susak, Leonid L Markulan, Serhii M Lobanov, Department of Surgery with the Course of Emergency and Vascular Surgery, O.O. Bogomolets National Medical University, Kyiv 01601, Ukraine
Roman Y Palitsya, Department of Abdominal Surgery, National Military Medical Clinical Centre “Main Military Clinical Hospital”, Kyiv 01133, Ukraine
Mariia P Rudyk, Larysa M Skivka, Department of Microbiology and Immunology, Taras Shevchenko National University of Kyiv, Kyiv 01033, Ukraine
Author contributions: Susak YM participated in the design of the study and supervised its implementation; Markulan LL participated in the study as a chief surgeon and performed surgical procedures; Palitsya RY assisted in surgical procedures; Rudyk MP contributed to data collection and participated in statistical analysis; Skivka LM participated in the design of the study, carried out statistical analysis, and wrote the draft.
Institutional review board statement: The study was reviewed and approved by the Committee on Human Rights Related to Research Involving Human Subjects of Kyiv City Clinical Emergency Hospital (Kyiv, Ukraine) (Approval No. 25-15-65).
Informed consent statement: All subjects gave their written informed consent prior to study inclusion.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mariia P Rudyk, PhD, Associate Professor, Department of Microbiology and Immunology, Taras Shevchenko National University of Kyiv, 60 Volodymyrska St, Kyiv 01033, Ukraine. rosiente@gmail.com
Received: November 17, 2022 Peer-review started: November 17, 2022 First decision: January 23, 2023 Revised: February 5, 2023 Accepted: March 3, 2023 Article in press: March 3, 2023 Published online: April 27, 2023
Core Tip
Core Tip: This study compared the new technique of internal-external biliary-jejunal drainage (IEBJD) for bile duct (BD) decompression in patients with obstructive jaundice with commonly used procedures through a retrospective analysis of prospectively collected data. IEBJD was used to divert bile from the BD directly into the initial loops of the small intestine to prevent duodeno-biliary reflux. The application of IEBJD was associated with a decreased incidence of significant complications, a delayed onset of cholangitis and its shorter duration, as well as an increased cumulative survival rate in patients with distal malignant biliary obstruction as compared to commonly used endoscopic ultrasound-guided retrograde and antegrade techniques and internal-external transpapillary biliary drainage.
