Puncture biliodigestive bypass in obstructive jaundice of tumor genesis

The experience of successful surgical treatment of two patients with malignant non-resectable tumor of hepatopancreaticoduodenal organs complicated with obstructive jaundice using minimally invasive surgery is described in clinical observations for the first time. The patients underwent fluoroscopy-guided biliodigestive bypass. The study presents a detailed description of the technique and stages of surgery using Ivshin® surgical kit. The proposed method prevents from such negative consequences of palliative surgeries as formation of biliodigestive anastomosis by conventional access or external cholecystostomy, the main disadvantages of which include surgery injury, hypocholia, acholia, as well as water and electrolyte disorders.