| Title |
Tulžies latakų obstrukcija esant neoperabiliam kasos galvos navikui. Stentavimas ar paliatyvi operacija? / |
| Translation of Title |
Biliary tract obstruction in nonresectable tumour of pancreatic head. Stenting or palliative operation? |
| Authors |
Jurgaitis, Jonas ; Kryžauskas, Marius ; Asejev, Viktor ; Stanaitis, Juozas ; Paškonis, Marius ; Beiša, Virgilijus ; Strupas, Kęstutis |
| DOI |
10.15388/LietChirur.2014.3894 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2014, t. 13, Nr. 3, p. 184-191.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
tumour of pancreatic head ; obstructive jaundice ; stenting ; biliodigestive anastomosis |
| Abstract [eng] |
Background Obstructive jaundice, which usually is the first symptom of tumour of the pancreatic head, occurs in 90% of cases. Due to the fact that radical surgery is possible only for 15–20% of patients, obstructive jaundice is treated by applying palliative methods (endoscopic biliary tract stenting or biliodigestive anastomosis). Both palliative methods are equal, and there are no criteria that would determine the option of treatment. Matherials and methods A retrospective analysis of patients with a pancreatic head tumour and obstructive jaundice was made. Patients were divided into two groups according to the applied palliative method: group A – biliary tract stenting, group B – biliodigestive anastomosis. Clinical data, complications, the survival of patients and the average cost of treatment for one patient were compared. Results 182 patients were involved in the analysis, of them 94 (52 %) underwent biliary tract stenting and 88 (48%) biliodigestive anastomosis. The median of the survival of patients in group A was shorter than in group B – 106.5 (6–705) versus 188.5 (1–744) days, p = 0.026. Distant metastases were determined in 34 (36 %) patients of group A and in 30 (34%) of group B. The median survival of patients with distant metastases was approximately equal: in group A – 84.5 (6–354) days, in group B – 82.5 (9–542), p = 0.38. Complications in group A occurred in 17%, and in group B in 19% of cases. The average cost of treatment reached 6491 Lt for one patient in group A and 11 627 Lt in group B. Conclusions Advanced tumour of pancreatic head with distant metastases is a condition for a shorter survival; thus, biliary tract stenting is indicated. Inoperable tumour of pancreatic head without distant metastases is an indication for applying a biliodigestive anastomosis. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2014 |
| CC license |
|
