title: [Ways to improve tolerance to gastro-pancreatic-duodenal resection].
abstract: Immediate results of 125 gastropancreatoduodenal resection (GPDR) performed for cancer of the pancreatoduodenal zone are presented. Despite extended surgery volume (15 GPDR were extended, in 14 patients resection of the major vessels was performed) postoperative lethality decreased to 1.6% due to lowered rate of severe postoperative complications (first of all insufficiency of pancreato- and biliodigestive anastomosis). Ways of prophylaxis of these complications consist in conduction of percutaneous puncture transhepatic cholangiostomy as the method of choice for billiary decompression before surgery in patients with tumor obstructive jaundice, precise surgical technique, creation of pancreatogastroanastomosis on reconstructive stage of GPDR.
authors.forename: Iu I
authors.initials: IuI
authors.lastname: Patiutko
authors.forename: A G
authors.initials: AG
authors.lastname: Kotel'nikov
authors.forename: V Iu
authors.initials: VIu
authors.lastname: Kosyrev
authors.forename: I V
authors.initials: IV
authors.lastname: Sagaĭdak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D001650:Bile Duct Neoplasms / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004379:Duodenal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery*