Choice Of Tactics For Palliative Surgical Treatment Of Patients With Unresectable Pancreatic Head Cancer Complicated By Obstructive Jaundice In Cases Of High Surgical And Anesthetic Risk

Abstract

The disadvantages of open operations to eliminate biliary obstruction and duodenal obstruction in patients with unresectable pancreatic head cancer are a high incidence of postoperative complications (up to 40%) and mortality (up to 15‒20%). When installing self-expanding metal stents (SEMS), the incidence of complications and mortality varies within 1‒3%. However, during surgical bypass operations, effective drainage of the biliary system and stomach lasts for more than a year, and SEMS are subject to obstruction with the development of cholangitis 6 months after installation.