Clinical case of palliative antegrade surgical treatment of cancer of the major duodenal papilla
Yury S. Vinnik , E. V Serova , D. A Chernykh , A. V Kovalev , D. V Stratovich , I. A Prusov
Russian Journal of Oncology ›› 2016, Vol. 21 ›› Issue (5) : 244 -249.
In the structure of malignant tumors, accompanied by obstructive jaundice, there are most occurred such as the lesion of the pancreas (47%), bile duct cancer (20%) also papillary carcinoma (MDP) and gall bladder cancer (about 15%). In the case of inoperable tumor, in elderly and senile patients with severe concomitant somatic pathology, there are indicated palliative interventions as follows: percutaneous transhepatic external or external-internal drainage of the biliary tract with possible subsequent percutaneous transhepatic stenting of the common bile duct. Under our observation there was a patient of 75 years with verified major duodenal papilla cancer, complicated by obstructive jaundice, to whom as the first step there was performed percutaneous transhepatic external-internal drainage of the biliary tract, and as the second one - percutaneous transhepatic stenting of the common bile duct.
major duodenal papilla cancer / obstructive jaundice / percutaneous transhepatic external-internal drainage of the biliary tract / percutaneous transhepatic stenting of the common bile duct
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