Two-stage Treatment of Complicated Duodenal Cancer

There has been demonstrated a case of surgical treatment of duodenal cancer with successive complications (obstructive jaundice and stenosis) in an elderly patient. Follow-up peculiarities: reoperation was performed in a years after the first palliative surgery to arrest obstructive jaundice due to duodenal stenosis; the residual long stump of the loop, distal to hepaticojejunoanastomosis (Roux anastomosis), was used for anastomosis with gastric stump, that enabled to save biliodigestive anastomosis and reduce operation traumatism. Pancreatogastrostomy was performed due to a “soft“ pancreatic stump and non-visualized Wirsung’s duct.

Ershov V.V., Ryabkov М.G., Saratov М.B. Two-stage Treatment of Complicated Duodenal Cancer. Sovremennye tehnologii v medicine 2012; (2): 146