INDICATIONS FOR BILIARY DECOMPRESSION AND CHOICE OF BILIODIGESTIVE ANASTOMOSIS IN PANCREATICODUODENAL RESECTION

Summary. Objective. To develop an algorithm for choosing the method of biliary decompression and to determine optimal biliodigestive anastomosis in pancreaticoduodenal resection (PDR).
 Materials methods. Pancreaticoduodenal was performed 302 patients with obstructive diseases zone. Biliary 62 (20,5 %) patients, following methods were used: percutaneous perhepatic cholangiodrainage, endoscopic stenting, various variants cholecystostomy, anastomosis. At reconstructive stage PDR anastomoses performed: hepaticojejunoanastomosis, choledochojejunoanastomosis, cholecystojejunoanastomosis.
 Results discussion. Percutaneous cholangiodrainage 22 (35.5 stenting – 21 (34.4 %), cholecystostomy 9 (14.5 anastomo-sis 10 (16.1 %). resection, a on single loop jejunum (along pancreaticjejunoanastomosis gastroenteroanastomosis) 282 (93,4 separate (6,8 reconstruction 4 (1,3 6 (2,0 preserved purpose at first treatment.
 Conclusions. Among decompression, use coronary intervention is preferable, which allows performing minimal perioperative complications; choice performance hepaticojejunoanastomosis.