[Paliative surgery in carcinoma of the pancreatic head]

Paliative surgery in carcinoma of the head of the pancreas have thoroughly task to carry out decompression of biliar tract, remove duodenal impassability and reduce the pain. Numerous variants for decompression of biliar tract were recommended, but stil now there is no agreement about optimal approach. As method of choise for decompression of biliar tract in patients with cancer our first alternative is making safeless, with little traumatic and easy performance anastomosis. Duodenostasis in patients with carcinoma of the head of the pancreas was determinated clinicly in 40-60% of casees. Some authors recommand making selective gastrojejunostomies based on preoperative and postoperative conclusions. Some other authors recommand in the time of making paliative biliodigestive anastomosis, making obligatory gastrojejunostomy. In fight against pain we used some base methods, as chemical splachinsectomy, intraoperative ganglionectomy and others.