Endoscopic surgical interventions in the treatment of periampullary cancer

In this paper retrospective treatment result analysis of 386 patients with periampullary cancer, complications are carried out by obstructive jaundice. Patients were organized into two groups: the first group patients to whom traditional surgical interventions were applied, and entered the second – treated with endoscopic transpapillary surgeries. We have shown that at the nonresectable cancer of bodies of a pancreatoduodenal zone complicated by obstructive jaundice, endoscopic transpapillary interventions are the main method of decompression of a biliary tree, thus allowing complete avoidance of traditional surgical intervention

Endoscopic surgical interventions in the treatment of periampullary cancer

In this paper retrospective treatment result analysisof 386 patients with periampullary cancer, complicationsare carried out by obstructive jaundice. Patientswere organized into two groups: the first group patients towhom traditional surgical interventions were applied, andentered the second – treated with endoscopic transpapillarysurgeries. Cancer of a pancreas head is revealed in177 patients, cancer of a big duodenal nipple in 145 patientsand cancer of the terminal department of the generalbilious channel in 64 patients. The duration of biliouschannels obstruction was from 3 to 45 days. The presenceof obstructive jaundice at this category of patients wasconsidered the indication to performance of endoscopictranspapillary decompressive interventions. We haveshown that at the nonresectable cancer of bodies of apancreatoduodenal zone complicated by obstructive jaundice,endoscopic transpapillary interventions are the mainmethod of decompression of a biliary tree, thus allowingcomplete avoidance of traditional surgical interventions