RESUMO
Experience of endoscopic stenting for preoperative preparation of patients with various diseases of hepatopancreatobiliary zone and high surgical risk is analyzed. Internal drainage (stenting) of bile ducts was performed at 45 (58%) patients, external - at 24 (31.1%), combined external-internal - at 8 (10.4%) patients. Advantages and disadvantages of each stenting type are evaluated, differential indications are determined. Analysis of short-term results demonstrates that the rate of early postoperative complications is lower at patients operated after bile ducts stenting that at ones operated on jaundice peak. It is concluded that endoscopic stenting of bile ducts permits to increase efficacy of preoperative preparation for surgical or endoscopic procedures, and to decrease the risk of their complications.
