Palliative Surgery in Pancreatic Head Cancer at the University Hospital of Bouaké

Introduction: Cancer of the head pancreas is increasing in incidence. It represents 3% all cancers and 20% digestive cancers. Diagnosis most often late. Indeed, 80% these are discovered at an advanced stage. In this case, treatment essentially palliative. The reference chemotherapy associated with endoscopic if there obstruction bile duct. Palliative surgery only indicated case intraoperative discovery a contraindication to curative surgical procedure. However, palliative still forefront low-income countries limited technical facilities. aim work was determine frequency modalities unresectable pancreatic cancer evaluate results. Methods: Retrospective descriptive study files patients who underwent for malignant tumour pancreas; operated University Hospital Bouake from January 2011 December 2020. Results: performed 71 patients, or 80.6% locally tumour. We double biliary bypass systematically. gastrojejunal anastomosis cases. For biliary-digestive diversion, different were performed, notably choledocho-jejunal 53.6% (n=38), cholecysto-jejunal 38.0% (n=27) choledochodenal 8.4% (n=6). overall morbidity 22.5% (n=16). Morbidity related procedure 18.3% (n=13). These leakage (n=6; 8.4%) parietal bleeding (n=4; 5.6%). Three died immediately postoperatively, giving operative mortality 4.2%. mean survival 5.8±2.2 months. Conclusion: occupies privileged place our practice, allowing improvement quality life without apparent influence on long-term prognosis which remains appalling. hope improving lies early diagnosis strengthening platform.