PALLIATIVE SURGICAL TREATMENT OF UNRESECTABLE TUMORS OF THE HEAD OF THE PANCREAS COMPLICATED BY MECHANICAL JAUNDICE AND DUODENAL OBSTRUCTION BY STENTING OF THE BILIARY SYSTEM AND DUODENUM WITH NITINOL STENTS

Summary. The development of new technological solutions for palliative surgical treatment patients with unresectable pancreatic cancer is relevant because the frequency postoperative complications in such reaches 25 % and mortality — 20 %.
 Objective. Improve diagnosis immediate results complicated by mechanical jaundice duodenal obstruction.
 Materials methods. A comparative analysis two groups (11 first 27 second) gastric evacuation disorders due to obstruction. Patients group I performed only biliodigestive shunting open surgery. II obstruction bile ducts duodenum was removed endoscopic stenting biliary system nitinol stents.
 Results. It proved that stents, compared surgery, accompanied a lower (72.7 vs. 22.2 %, p < 0.05), (27.3 0 0.001) reduction hospital stay (from (24.3 ± 3.74) (8.7 0.91) days, <0.001).
 Conclusions. operation choice from stomach, high risk surgery (ASA III), perform transpapillary duodenum.