title: [Improved technique for internal biliary-digestive drainage during conventional palliative procedure of nonresectable tumors of periampullary region].
abstract: OBJECTIVE
  We represent variation of bilio-digestive stomy with "lost" protecting drainage during conventional palliative procedure of nonresectable tumors of periampullary region.
  
  
  METHODS
  During the period 01.01.2008 -31.05.2008 in the Clinic of general and liver-pancreatic surgery-"Aleksandrovska" Hospital, Sofia, we applied modified technique for internal bilio-digestive prosthetic drain with "lost" drainage, protecting choledocho-duodenostomy in 12 patients with nonresectable tumors of periampullary region. Eight of them are males and 4--females, with age between 60-82 (average 64,5). In 8 patients we found nonresectable malignancy of the head of pancreas and in 4 nonresectable malignancy of distal part of the common bile duct.
  
  
  RESULTS
  We follow the early postoperative results and postoperative period during tree months. We did not have insufficiency of the choledocho-duodenostomy and that afford early discharge of the patients. At the end of third month we haven't observed jaundice or other complications cause of obstruction of protecting drainage.
  
  
  CONCLUSIONS
  We consider that the technique is useful and appropriate when doing choledocho-duodenostomy cause of nonresectable periampullary neoplasms. The using of this technique don't increase the postoperative morbidity and improve early postoperative results.
authors.forename: A
authors.initials: A
authors.lastname: Ionkov
authors.forename: S
authors.initials: S
authors.lastname: Bonev
authors.forename: D
authors.initials: D
authors.lastname: Bulanov
authors.forename: I
authors.initials: I
authors.lastname: Taneva
authors.forename: I
authors.initials: I
authors.lastname: Ivanovski
authors.forename: V
authors.initials: V
authors.lastname: Dimitrova
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000601:surgery*; D002768:Choledochostomy / Q000379:methods*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016896:Treatment Outcome