OPTIMAL METHODS FOR ELIMINATION OF OBSTRUCTIVE JAUNDICE WITH ADVANCED CANCER OF THE PANCREAS HEAD-Reference-Cited by-同舟云学术

OPTIMAL METHODS FOR ELIMINATION OF OBSTRUCTIVE JAUNDICE WITH ADVANCED CANCER OF THE PANCREAS HEAD

Published:2018-06-08 Issue:2 Volume:5 Page:26-35
ISSN:2410-1893
Container-title:Research and Practical Medicine Journal
language:
Short-container-title:Issled. prakt. med. (Print)

Author:

Gevorkyan T. G.¹,Faynshteyn I. A.²

Affiliation:

1. M.Vladimirskiy Moscow Regional Research Clinical Institute

2. N.Blokhin National Medical Research Center of Oncology of Ministry of Health of Russia

Abstract

Purpose. Development and evaluation of the effectiveness of sound and safer methods of palliative surgery with obstructive jaundice advanced pancreatic head cancer.Patients and methods. The study included 272 patients with advanced pancreatic head cancer and the complication of this process in the form of mechanical jaundice, which had various volumes of bile-excreting procedures. Minimally invasive (141 patients) and laparotomic interventions (131 patients) were used to perform biliary decompression.Results. With mini-invasive techniques, there were significantly more postoperative complications than with open surgery. The number of early complications after open surgery for biliary excretion (9.2%) is less than after minimally invasive (37.6%), and this difference is determined by complications caused by the performed intervention (4.6% compared with 31.9%). Complications after surgical interventions in all cases were stopped conservatively, whereas after minimally invasive interventions, in order to eliminate complications, 1.4% of patients required repeated mini-invasive interventions.Conclusion. Survival analysis according to the particular bile decompression method showed the best indicators of overall 6, 9-month and one-year survival rate for all types of open surgical methods eliminate jaundice compared with minimally invasive techniques.

Publisher

QUASAR, LLC

Subject

Microbiology (medical),Immunology,Immunology and Allergy

Reference12 articles.

1. Borisov AE, ed. Rukovodstvo po khirurgii pecheni i zhelchevyvodyashchikh putei [Manual of surgery of the liver and biliary tract]. Vol. 1. St.Petersburg, 2003. (In Russian).

2. Gal’perin EI, Vetshev PS. Chreskozhnye chrespechenoch¬nye vmeshatel’stva na zhelchnykh protokakh. Rukovodstvo po khirurgii zhelchnykh putei [Percutaneous transhepatic inter¬ventions on the bile ducts. Manual of surgery of the biliary tract]. Мoscow, 2006. (In Russian).

3. Zherlov GK, Karpovich AV, Zykov DV, Krasnoperov AV, Demakov MV. Antireflux hepaticojejunostomy in treatment of cancer of the head of pancreas or extrahepatic bile-ducts. Khirurgiya. Zhurnal imeni N.I. Pirogova (Journal Surgery named after N.I. Pirogov). 2009;3:17-22. (In Russian).

4. Kotel’nikov AG, Patyutko YuI, Tryakin AA. Clinical guidelines for the diagnosis and treatment of pancreatic cancer. Мoscow, 2014. (In Russian).

5. Kim EH, Kim HJ, Oh HC. The usefulness of percutaneous tran¬shepatic cholangioscopy for identifying malignancies in distal common corrected. bile duct strictures. J Korean Med Sci. 2008 Aug;23(4):579-85. DOI: 10.3346/jkms.2008.23.4.579.