A new algorithm of preoperative preparation of patients with focal lesions of the biliopancreatic area complicated by mechanical jaundice

Pancreatoduodenal resection (PDR) represents one of the most demanding procedures which is required in patients with a tumoral lesion at this level. The aim present article was to report results 272 submitted such surgical procedures. All were divided into two groups: main group, for whom optimized decompression algorithm used (n=112) and control preparation PDR carried out according generally accepted standards (n=160). Upon admission hospital, total bilirubin level group 274.6±5.9 µmol/l while 270.4±4.6 µmol/l. performed patients. Whipple’s terminolateral anastomosis 38/160 (23.7%) group; termino-terminal Shalimov-Kopchak’s method imposed 40/160 (25.0%) group. Pancreatojejunoanastomosis imposition ductomucosal 128 73 cases 55 one. Pancreatogastroanastomosis plunging pancreatic stump stomach 35 19 16 ‘stomach sleeve’ 32 20 12 mortality rate 6.3% (7 patients), 11.9% (19 patients). In conclusion, biliary may improve postoperative outcomes after resection.
 Abbreviations: CEA, carcinoembryonic antigen; CA, cancer PDR, pancreatoduodenal resection; MRI, magnetic resonance imaging