FEATURES OF MODERN TREATMENT OF PATIENTS WITH OBSTRUCTION OF BILE DUCT OF NEOPLASMATIC GENESIS

It is analyzed the tactics of managing patients with obstruction of bile duct of neoplasmatic etiology in two nosologically comparable groups of patients. The first group of 716 patients underwent complex treatment of complications with the use of minimally invasive interventions in the X-ray angiographic block, while the second group of patients, who made up from 1,301 patients, had complex treatment of complications without the use of minimally invasive interventions. On the background of the active introduction of minimally invasive interventions in the first group of patients both at the diagnostic stage (ante- and retrograde cholangiography) and the implementation at the treatment stage of various minimally invasive procedures for decompression of bile ducts to eliminate complications of malignant neoplasms of the hepatopancreatobiliary zone, both for palliative treatment, and with the purpose of preparation for radical surgical treatment, it is established: a decrease in the number of open biliodigestive anastomosis in order to eliminate obstruction of bile duct, which reduced the incidence of postoperative complications and mortality, improvement of the quality of life of patients who are not candidates to radical surgery; an increase in the number of radical operations to remove malignant neoplasms of the hepatopancreatobiliary zone.

malignant neoplasms of hepar, obstruction of bile duct, surgical miniinvasive decompression of biliary tract, pancreas and biliary tract