[Management of obstructive jaundice in patients with neoplasms of the major duodenal papilla].
Yu S TeterinL R TigievO Kh KaloevaE V StepanM L RogalYu D KulikovPublished in: Khirurgiia (2021)
Invasion of muscle layer or distal parts of the common bile duct, as well as abnormal vascularization are indications for open surgery or palliative endoscopic treatment. Tumor location within mucous and muscle layers without invasion of distal third of the common bile duct and no abnormal vascularization of tumor justify endoscopic papillectomy. Endoscopic approach can be considered as a final minimally invasive method with minimal risk of postoperative complications in case of benign ampullary tumor.