Efficacy of percutaneous biliary and pancreatic duct drainage/stenting with double invaginated pancreatojejunostomy after pancreatoduodenectomy.

Aim: To evaluate the efficacy and feasibility of preoperative percutaneous pancreatic duct drainage (PPDD) and improve the safety of pancreatojejunal anastomosis, we refer to our experience from 2013 to 2017 that include the last series of 27 cases of PD for 14 pancreatic and 13 ampullary tumors. Apart from the standard "classic" Whipple procedure in 17 cases, and the "modified"pylorus-preserving variant (ppPD) in 10 cases, in 26 cases a pancreaticojejunostomy and in 1 case a pancreatico gastrostomy was performed. In last series the percutaneous biliary drainage procedure in 18 cases and dual biliary + pancreatic duct decompression in 4 casas was performed.

Pancreatoduodenectomy as classic and pylorus-preserving variant: single center experience.

It is presented and discussed the experience of pancreatoduodenectomy for pancreatic head and ampullary tumors. Of 7 cases of pancreatoduodenectomy 3 were performed as classic Whipple procedure and 4 as modified pylorus-preserving variant (PPPD). It was observed 2 cases of mild pancreatic and biliary leak and 1 patient developed abdominal wall dehiscence after the surgical site infection.

[Transhepatic drainage during mechanical jaundice caused by intrahepatic metastatic biliary duct obstruction].

19 patients treated for mechanical jaundice caused by obturation of intrahepatic bilious duct with colorectal liver metastasis were included in this study. At inspection in all patients is has been revealed metastatic defeat of both shares of a liver, in this connection the question on performance of radical operation (hemihepatectomy) in view of purulent complications and jaundice was not considered. For the removal of the jaundice transhepatic drain have been performed: bilateral -- in 15, unilateral -- in 4 cases.