Survival in patients with malignant neoplasms of pancreatoduododenobiliary zone complicated by obstruction of bile duct

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Abstract

There were analyzed the survival and mortality of 227 patients with malignant neoplasms of pancreatoduodenobiliary zone complicated by obstruction of bile duct syndrome for the period from 01.01.2014 to 01.05.2018 divided into 4 groups. The first group consisted of 20 patients who underwent radical operative treatment of malignant neoplasms of the pancreatoduodenobiliary zone without the use of minimally invasive biliary decompression as preoperative preparation; the second group included 34 patients who had minimally invasive biliary decompressionas preoperative preparationfor radical surgery; the third group included 121 patients who had palliative operative treatment of malignant neoplasms of the pancreatoduodenobiliary zone without the use of minimally invasive biliary decompression; the fourth group consisted of 54 patients who underwent palliative operations with the use of mini-invasive biliary decompression. After paired comparative analysis of postoperative survival and lethality, it was revealed a statistically significant increase in the average life expectancy and a decrease in postoperative mortality in patients who underwent radical surgery with the use of minimally invasive decompression technologies for bile ducts compared with all the other groups; a statistically significant increase in life expectancy and a reduction in postoperative mortality in patients who underwent palliative surgery with the use of mini-invasive biliary decompression compared to the group of patients who underwent open palliative surgeries. In patients who underwent radical surgical treatment without prior application of minimally invasive procedures for decompression of the biliary tree, there was no statistically significant increase in mean life expectancy and a decrease in postoperative mortality in comparison with the group of patients who underwent palliative operations with the use of mini-invasive bile decompressiontechnologies.

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About the authors

A. Е. Tseimakh

Altai State Medical University

Author for correspondence.
Email: alevtsei@rambler.ru
ORCID iD: 0000-0002-1199-3699
Russian Federation, 656038, Barnaul

А. F. Lazarev

Altai State Medical University; Altai branch of N.N. Blokhin Russian Cancer Research Center

Email: alevtsei@rambler.ru
ORCID iD: 0000-0003-1080-5294
Russian Federation, 656038, Barnaul; 656049, Barnau

E. L. Sekerzhinskaya

Altai branch of N.N. Blokhin Russian Cancer Research Center

Email: alevtsei@rambler.ru
ORCID iD: 0000-0002-8271-7528
Russian Federation, 656049, Barnaul

N. К. Bedian

State Hospital #5

Email: alevtsei@rambler.ru
ORCID iD: 0000-0002-8271-7528
Russian Federation, 656045, Barnaul

V. А. Kurtukov

State Hospital #5

Email: alevtsei@rambler.ru
ORCID iD: 0000-0002-5582-1178
Russian Federation, 656045, Barnaul

V. N. Teplukhin

State Hospital #5

Email: alevtsei@rambler.ru
ORCID iD: 0000-0003-0788-1421
Russian Federation, 656045, Barnaul

Ya. N. Shoykhet

Altai State Medical University

Email: alevtsei@rambler.ru
ORCID iD: 0000-0002-5253-4325
Russian Federation, 656038, Barnaul

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Supplementary files

Supplementary Files
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1. JATS XML
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2. Fig. 1. Comparison of the survival curves of patients after radical surgery without prior HHC (group 1) and with HHC (group 2)

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3. Fig. 2. Comparison of the survival curves of patients after radical surgery with preliminary HHHS (group 2) and after palliative surgery using minimally invasive bile duct surgery (group 4)

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4. Fig. 3. Comparison of the survival curves of patients after a radical operation without preliminary ChCHS (group 1) and after a palliative operation using minimally invasive bile duct operations (group 4)

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5. Fig. 4. Comparison of the survival curves of patients after palliative surgery without the use of biliary surgery (group 3) and with the use of biliary surgery (group 4)

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6. Fig. 5. Comparison of the survival curves of patients with stage IIa of the underlying disease after radical surgery without preliminary ChCHS (group 1) and with ChChHS (group 2) and after palliative surgery without and using biliary surgery (3rd and 4th Group)

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7. Fig. 6. Comparison of the survival curves of patients with stage III of the underlying disease III after radical surgery without preliminary ChCHS (group 1) and with ChChHS (group 2) and after palliative surgery without and using biliary surgery (3rd and 4th groups)

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8. Fig. 7. Comparison of the survival curves of patients with the stage of the underlying disease IV after palliative surgery without the use of bile duct operations (3rd group) and with the use of bile duct surgery (4th group)

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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