pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMUpmj-966Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHESВнутреннее желчеотведение у больных раком органов билиопанкреатодуоденальной зоныInternal bile diversion in patients with biliopancreatoduodenal cancerИзраиловР. Е.IzrailovR. E.izrailev@mail.ruКулезневаЮ. В.KuleznevaYu. V.noemail@neicon.ruКирилловаМ. С.KirillovaM. S.noemail@neicon.ruКапустинВ. И.KapustinV. I.noemail@neicon.ruКуприяновЕ. Ю.KupriyanovE. Yu.noemail@neicon.ruМосковский государственный медико-стоматологический университетРоссияMoscow State Medical Stomatology UniversityRussian FederationГородская клиническая больница № 68, г. МоскваРоссияClinical Hospital No. 68, MoscowRussian Federation201128122011046670Copyright © Израилов Р.Е., Кулезнева Ю.В., Кириллова М.С., Капустин В.И., Куприянов Е.Ю., 20112011Израилов Р.Е., Кулезнева Ю.В., Кириллова М.С., Капустин В.И., Куприянов Е.Ю.Izrailov R.E., Kulezneva Y.V., Kirillova M.S., Kapustin V.I., Kupriyanov E.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/966

На базе ГКБ № 68 (Москва) изучены материалы 167 наблюдений механической желтухи, обусловленной злокачественным поражением органов билиопанкреатодуоденальной зоны. Радикальные хирургические вмешательства не выполнялись из-за распространенности опухолевого процесса и/или тяжести сопутствующей патологии. Сравнивались результаты традиционного лечения (наложение билиодигестивных анастамозов) и миниинвазивных вмешательств с установкой саморасправояю-щихся нитиноловых стентов. Показано, что моноэтапное эндо-билиарное стентирование по клинической эффективности не уступает традиционному способу паллиативного лечения, кроме того, миниинвазивная имплантация саморасправляющихся стентов может применяться независимо от тяжести основного заболевания и выраженности сопутствующей патологии.

At the base of City Clinical Hospital No.68 (Moscow), the authors have studied materials of 167 case follow-ups with respect to obstructive jaundice caused by malignant lesions of the biliopancreatoduodenal area. The radical surgeries have not been performed due to tumour spread and/or severity of associated pathology. The paper compares results of the traditional treatment (application of biliodigestive anastomoses) and minimally invasive surgery with application of self-uncrumpled nitinol stents. As shown, the one-stage endobiliary stenting appears not to be inferior by clinical efficiency to the traditional method of palliative treatment. Besides, the minimally invasive implantation with the self-uncrumpled stents can be used irrespective of the severity of primary disease and manifestation of associated pathology.

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The authors declare that there are no conflicts of interest present.