Kachanov V. Modern aspects of minimizing postoperative complications pancreatoduodenectomy with obstructive diseases gepatopankreatoduodenaya zone.

Object - patients by the tumour defeat of biliopankreato-duodenal zone, and chronic pancreatitis; a purpose is an improvement of results of surgical treatment of patients with the obstructive diseases of gepatopankreatoduodenal zone on the basis of improvement of technology of execution of pancreatoduodenectomy (PDD) and minimization of after operation complications; methods – clinical, clinical-laboratory, biochemical, immunological, statistical; results – first systematic comparative research of efficiency of execution of the reconstructive stage of PDD is in-process conducted by traditional method’s Uippl and Shalimov-Kopchak on original author technology; the method of execution of pancreatogastroanastomosis is developed in the conditions of pilorosafe resection of stomach and selective proximal vagotomy at surgical treatment of shrine of pancreas and chronic pancreatitis; the comparative study of efficiency of application of cryotherapy is conducted on the stage of resection of fabrics of pancreas; researches of factors, which have value in the origin of pancreatitis fistula which differ on the degree of ag-gressiveness and is to one of the most severe forms of complications for patients after PDD, are conducted; branch – medicine.