I.S. MALKOV¹, R.Sh. SHAYMARDANOV¹, V.N. KOROBKOV¹, I.G. KHISAMIEV²

¹Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation, 420012

²Municipal Clinical Hospital № 7, 54 Chuykov St., Kazan, Russian Federation, 420103

Malkov I.S. — D. Med. Sc., Professor, Head of the Surgery Department, tel. +7-965-594-40-07, e-mail: ismalkov@yahoo.com¹

Shaymardanov R.Sh. — Cand. Med. Sc., Associate Professor of the Surgery Department, tel. +7-917-273-41-76¹

Korobkov V.N. — Cand. Med. Sc., Associate Professor of the Surgery Department, tel. +7-904-669-38-47, e-mail: vladimir.korobcov@list.ru¹

Khisamiev I.D. — surgeon, tel. +7-927-038-48-90, e-mail: ildar.hisa@rambler.ru²

The article gives the analysis of diagnostic and tactical mistakes made at each level of medical assistance to 820 patients with obstructive jaundice. The mistakes were observed in rates: 143 cases (17,1%) at pre-hospitalization stage; 105 cases (12,8%) at hospitalization including 53 cases (30,3%) observed at both stages. As a result of the research the main reasons of diagnostic and tactical mistakes were presented. The ways of overcoming these mistakes were defined by means of using the most rational treatment methods. The choice of the way of decompression of bile vessels as first stage of treating the Syndrome of Mechanical Jaundice (SMJ) is of particular importance.

Key words: obstructive jaundice, diagnostics, surgical treatment.

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