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The analysis of the clinical case in the stepped treatment of multiple choledocholithiasis and locally advanced kidney cancer

https://doi.org/10.20340/vmi-rvz.2021.5.CASE.1

Abstract

This article is devoted to the analysis of the clinical case which includes the clinical manifestations and treatment of multiple choledocholithiasis and locally advanced kidney cancer. A staged surgery was performed. Retrograde papillosphincterotomy with cholechocholitholite extraction was done at the first stage. The second stage includes laparotomy, removal of the tumor of the right kidney / adrenal gland as a single block, cholecystectomy after preliminary angiography and embolization of the vessels feeding the tumor. The presented successful observation demonstrates one of the modern approaches in the treatment of patients with comorbid pathology.

About the Authors

N. S. Novruzbekov
Scientific Research Institute of Emergency Medicine named after N.V. Sklifosovsky
Russian Federation

Moscow 



R. M. Nagaev
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation

Moscow 



I. V. Yangirov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation

Moscow 



G. A. Starkov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation

Moscow 



G. A. Gasanbekov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation

Moscow 



D. Y. Frantsev
Research Institute of Clinical and Experimental Radiology, N.N. Blokhin Oncology Research Center of the Ministry of Health of Russia
Russian Federation

Moscow 



A. V. Laskevich
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation

Moscow 



E. V. Aranovich
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation

Moscow 



A. U. Abdullaeva
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation

Moscow 



References

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2. Nosov D.A. et al. Prakticheskiye rekomendatsii po lekarstvennomu lecheniyu pochechnokletochnogo raka. Zlokachestvennyye opukholi. 2020;10:533-541. https://doi.org/10.18027/2224-5057-2020-10-3s2-31. (In Russ).

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Review

For citations:


Novruzbekov N.S., Nagaev R.M., Yangirov I.V., Starkov G.A., Gasanbekov G.A., Frantsev D.Y., Laskevich A.V., Aranovich E.V., Abdullaeva A.U. The analysis of the clinical case in the stepped treatment of multiple choledocholithiasis and locally advanced kidney cancer. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2021;11(5):122-130. (In Russ.) https://doi.org/10.20340/vmi-rvz.2021.5.CASE.1

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ISSN 2226-762X (Print)
ISSN 2782-1579 (Online)