Among 116 patients with diseases of hepatopancreatoduodenal zone organs, complicated with obstructive jaundice, the group of heightened operational risk was picked out. As the first stage of surgical treatment the laparoscopy was applied with subsequent operative intervention conduction using laparotomy. In critically ill patients the endoscopic intervention was the last stage of surgical treatment. In the group of heightened operative risk lethality was 3.9%.

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