Acta Medica Medianae (Jul 2002)

PALLIATIVES OF THE SURGICAL PROCEDURE IN THE TREATMENT OF NON-RESECTABLE CARCINOMA OF THE PANCREAS HEAD

  • Miomir Pešić,
  • Nebojsa Ignjatovic,
  • Miroslav Stoiljkovic,
  • Milan Jovanovic,
  • Miroslav Jeremic,
  • Milan Visnjic,
  • Miroslav Stojanović,
  • Dragojlo Gmijović

Journal volume & issue
Vol. 41, no. 4
pp. 81 – 89

Abstract

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An analysis, partly prospective and partly retrospective, was done on 110 patients of both sexes operated due to the non-respectable carcinoma of the pancreas head in the period from January, 1,1996 to January, 1,2001 at the Surgical Clinic of the Clinic Center in Niš with the aim to provide answers to the following questions, namely, what type of the biliodigestive derivation should be applied with these patients and should all the patients with the non-respectable carcinoma of the pancreas head be submitted to prophylactic gastroenteroanastomosis? On the basis of the operation time analysis, decoloration dynamics, hospitalization duration, percentage of the early and late post-operative complications and survival duration, the authors con-clude that the best possible operation should be offered, that is, the one that assumes the application of choledocho-jejunum and gastroenteroanastomosis, except in the cases when an exceptionally short survival time is expected when simpler methods are allowed as well.

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