Palliative internal biliary drainage for obstructive jaundice due to tumors of hepatopancreatobiliary area

Beburishvili A.G.

Kafedra fakul'tetskoĭ khirurgii Volgogradskogo gosudarstvennogo meditsinskogo universiteta

Zyubina E.N.

Volgograd State Medical University, Department of Faculty Surgery with the course of endoscopic surgery and with the course of Cardiovascular Surgery, Faculty of Continuing Medical Education, Center for Surgical Hepatology

Vedenin Yu.I.

Volgograd State Medical University, Volgograd scientific medical center, Volgograd, Russia

Mandrikov V.V.

Volgograd State Medical University, Volgograd scientific medical center, Volgograd, Russia

Palliative internal biliary drainage for obstructive jaundice due to tumors of hepatopancreatobiliary area

Authors:

Beburishvili A.G., Zyubina E.N., Vedenin Yu.I., Mandrikov V.V.

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Journal: Endoscopic Surgery. 2016;22(6): 27‑31

DOI: 10.17116/endoskop201622627-31

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To cite this article:

Beburishvili AG, Zyubina EN, Vedenin YuI, Mandrikov VV. Palliative internal biliary drainage for obstructive jaundice due to tumors of hepatopancreatobiliary area. Endoscopic Surgery. 2016;22(6):27‑31. (In Russ.)
https://doi.org/10.17116/endoskop201622627-31

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Goal. Optimizing a differentiated approach to choice the method of internal biliary excretion for improvement the results of patients treatment with unresectable tumors of the hepatopancreatobiliary zone complicated by syndrome of obstructive jaundice. Material and methods. The results of surgical, endoscopic transpapillary, percutaneous transhepatic endobiliary interventions and their terminal application in 431 patients with inoperable tumors of the hepatopancreatobiliary zone complicated by obstructive jaundice syndrome are analyzed. Results. Were managed to perform palliative internal choleresis to all patients. Postoperative complications were noted in 9% of cases. Mortality rate was 7.66%. Long-term results were studied in 74.5% of patients in terms from 3 to 30 months. Conclusion. The proposed therapeutic algorithm determines the most effective use of surgical and minimally invasive variants of internal choleresis in patients with unresectable tumors of the hepatopancreatobiliary zone and allows avoiding the long-term complications characterised for bilioduodenal stenting.

Keywords:

obstructive jaundice

tumors of hepatopancreatobiliary zone

biliodigestive anastomosis

stenting of bile ducts

Authors:

Beburishvili A.G.

Kafedra fakul'tetskoĭ khirurgii Volgogradskogo gosudarstvennogo meditsinskogo universiteta

Zyubina E.N.

Vedenin Yu.I.

Volgograd State Medical University, Volgograd scientific medical center, Volgograd, Russia

Mandrikov V.V.

Volgograd State Medical University, Volgograd scientific medical center, Volgograd, Russia

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