Endoscopic surgical interventions in the treatment of periampullary cancer

In this paper retrospective treatment result analysis of 386 patients with periampullary cancer, complications are carried out by obstructive jaundice. Patients were organized into two groups: the first group patients to whom traditional surgical interventions were applied, and entered the second - treated with endoscopic transpapillary surgeries. Cancer of a pancreas head is revealed in 177 patients, cancer of a big duodenal nipple in 145 patients and cancer of the terminal department of the general bilious channel in 64 patients. The duration of bilious channels obstruction was from 3 to 45 days. The presence of obstructive jaundice at this category of patients was considered the indication to performance of endoscopic transpapillary decompressive interventions. We have shown that at the nonresectable cancer of bodies of a pancreatoduodenal zone complicated by obstructive jaundice, endoscopic transpapillary interventions are the main method of decompression of a biliary tree, thus allowing complete avoidance of traditional surgical interventions.