Tumors of the pancreas

Indications:

• ablation for the purpose of cure (as a rule, tumors 1 -2, less often 3 stages);
  
• ablation in order to get rid of severe, opiate-dependent pain syndrome;
  
• ablation for the purpose of cytoreduction.

Contraindications:

• unresolved jaundice (during stenting it is necessary to use only nitinol stents, plastic stents are not suitable);
  
• tumor germination into a hollow organ (12-duodenum, stomach, etc.);
  
• pancreatic tumors of cystic structure;
  
• estimated life expectancy is less than 3 months;
  
• general contraindications.

Preoperative examination:

• Ultrasound with biopsy for histological and IHC studies;
  
• CT or MRI with contrast enhancement;
  
• if it is necessary, PET-CT;
  
• standard clinical and laboratory examination for admission to the surgical department.

Preparation:

• "water diet" for 3 days: there are pureed soups, broths, copious drinking, puree, pureed porridge;
  
• the goal is to flood the loops of the small intestine with liquid contents and expel air from the intestine;
  
• all products that cause bloating of the intestine are prohibited; three days of Espumisan 3-5 capsules 3 times a day, preferably liquid Espumisan 1 tablespoon 3 times a day.