DECOMPRESSION OF BILIARY-TRACT IN PREPARA TION OF PATIENTS WITH OBSTRUCTIVE-JAUNDICE AND CHOLANGITIS FOR OPERATION

Rational use of mildly invasive percutaneous and endoscopic instrument al interventions for decompression of the biliary tract in patients wi th cicatricial and tumor strictures of the pancreaticobiliary zone rap idly arrests the manifestations of obstructive jaundice. This reduces considerably the risk of the subsequent operation. Analysis of the res ults of radical surgical treatment of 12 patients with posttraumatic c icatricial strictures and tumors of the biliary tract showed the advan tages of two-stage tactics in the management of these patients. The us e of such tactics in the clinic led to a decrease of the incidence of postoperative complications to 42.8% and was attended with a favorable outcome in all cases.