Risk prediction program for choosing methods of biliary tract decompression in patients with obstructive jaundice caused by tumors: clinical testing

Introduction. The most pressing problems in abdominal oncology surgery are the development of obstructive jaundice as a complication patients with malignant tumors hepatobiliary and pancreatoduodenal area, ways to eliminate it reduce risk adverse events. Our earlier research revealed 14 predictors that together more likely cause undesirable postoperative complications, including deaths during minimally invasive biliary tract decompression. On basis data obtained, computer program “Risk Assessment Treatment Methods for Obstructive Jaundice” was created. Materials methods. introduced into clinical practice Yaroslavl Regional Clinical Oncology Hospital tested on 144 from 2019 through 2022. Th e issued conclusion events assigned patient one groups where drainage or stenting were recommended first stage Results discussion. Following collegial decision based results obtained via program, 58 (40.28 %) underwent endoscopic 86 (59.72 percutaneous transhepatic drainage. In study group, developed 10 (6.94 %), while control group — 50 (22.94 134 (93.06 had no compared 168 (77.06 group. Conclusion. Application reliable practically significant decline general complications induced by decompression 22.94 % 6.94 3.5-fold decrease mortality 5.05 1.39 neoplasms complicated mixed jaundice.