OPTIMAL METHODS FOR ELIMINATION OF OBSTRUCTIVE JAUNDICE WITH ADVANCED CANCER OF THE PANCREAS HEAD
| Autor: | T. G. Gevorkyan, I. A. Faynshteyn |
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| Jazyk: | ruština |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Issledovaniâ i Praktika v Medicine, Vol 5, Iss 2, Pp 26-35 (2018) |
| Druh dokumentu: | article |
| ISSN: | 2410-1893 2409-2231 |
| DOI: | 10.17709/2409-2231-2018-5-2-3 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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