Minimally invasive methods of decompression in the treatment of mechanical jaundice of malignant genesis in elderly and senile patients

Materials and methods: From 2015 to 2016, we treated 547 patients with mechanicaljaundice. There were 356 patients with malignant strictures of the bile ducts. From malignantdiseases of the gastro-pancreatic-duodenal zone, we most often deal with pancreatic head tumors-163, metastases in the lymph nodes of the hepatic-duodenum ligament in 47 patients, tumors ofthe proximal bile ducts in 44, distal bile ducts in 32, gall bladder cancer in 29 patients, duodenalpapilla cancer - 27; primary liver cancer in 12 cases, cancer of duodenum in 2 cases. The average age of the patients was 77 years, the most common being 83 years,ranging from 29 to 96. The mean level of bilirubin at the time of admission was -311 μmol/l, ranging from 54 to 648 mmol/l. 503 minimally invasive interventions were performedin 356 patients: percutaneous transhepatic cholangiostomies 313, cholecystostomy 2,transcutaneous trepan biopsies of neoplasms 134, intraluminal biopsies 20, ante- andretrograde stenting of the bile ducts 34.