[Surgical treatment of malignant tumors in the biliopancreatoduodenal zone].
Results of surgical treatment of 381 patients with cancer of biliopancreatoduodenal zone associated with obstructive jaundice were analyzed. Mean level of bilirubinemia was 182 +/- 12 mcmol/l. Cholecystoanastomosis was created in the majority of cases (51.4%). Radical surgery was carried out in 31 patients. Postoperative complications were seen in 155 (41%) patients. Renal-hepatic failure (28.1%) and purulent-septic complications (25.2%) were dominant. Lethality after radical operations was 12.9%, after palliative--15.7%. Inhibiting effect of autoplasma on phagocytosis and decrease of phagocytosis indexes 1.5-2 times are the risk factors of postoperative purulent-septic complications development. Discrete plasmapheresis reduces of postoperative purulent-septic complications rate.
Shoĭkhet
Ia N
IaN
Moskvitina
L N
LN
Slukhaĭ
E Iu
EIu
Mar'ian
A V
AV
Smirnov
A K
AK
D001661:Biliary Tract Neoplasms / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000601:surgery*; D006801:Humans; D010190:Pancreatic Neoplasms / Q000601:surgery*