The role of interventional radiology in mini-invasive treatment of patients with biliopancreatic and duodenal zone tumors

DOI: https://doi.org/10.25512/DIR.2011.05.3.05

For quoting:
Israilov R.E., Kulezneva Yu.V., Khatkov I.E., Tsvirkun V.V. "The role of interventional radiology in mini-invasive treatment of patients with biliopancreatic and duodenal zone tumors". Journal Diagnostic & interventional radiology. 2011; 5(3); 37-43.

authors:

Israilov R.E.

Kulezneva Yu.V.

Khatkov I.E.

Tsvirkun V.V.

keywords:

laparoscopic pancreaticoduodenectomy

biliodigistive anastamosis

pacreaticojejunoanastamosis

transcutaneus transhepatic drainage

Abstract:

Aim. Was to estimate the role of transcutaneous interventions under the supervision of radiodiagnostics in the maintenance of all mini-nvasive kinds of operation stages of surgical treatment in patients with pancreatic and duodenal zone tumors

Materials and methods. For the period from January 2007 till march 2010, 21 patients, aged 49-75 (10 men, 11 women) - were under aparoscopic pancreaticoduodenectomy (LPDE)

Results. The use bile ducts drainage systems before LPDE in 95% cases leads to small hemorrhage (less than 1 liter). The presence of cholangiostomy also leads to early diagnostics of biliodigistive anastamosis (BDA) stenosis, and makes bile peritonitis – impossible.

Conclusion. Usage of non-vascular methods of interventional radiology allows to make effective and less traumatic biliar decompression in patients with biliopancreatic and duodenal zone tumors as a stage of LPDE preparations. The presence of decompression cholangiostomy prevents further BDA inconsistency, and makes pacreaticojejunoanastamosis healing faster in case of its' decompression.

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