Minimally invasive technology in the treatment of complications of chronic pancreatitis

  • V.G. Yareshko
  • I.A. Mikheiev
  • S.G. Zhivitsa
  • L.M. Bambyzov
Keywords: chronic pancreatitis, endoscopic papillotomy, interventional ultrasound, laparoscopic longitudinal pancreatojejunostomy


We analyzed the results of surgical treatment of 254 patients with complications of chronic pancreatitis. Of these, minimally invasive intervention, realized in 106 patients. Endoscopic transpapіllary intervention was made to 22 (20,7%) patients. The indications for their implementation were biliary and pancreatic hypertension as well as external pancreatic fistulas, efficiency of these interventions was that 75 (88,9%) respectively. Endoscopic transmural operations performed 9 to (8,5%) patients. Interventional sonography techniques used in examination of 70 (66,0%) patients. Laparoscopic surgery was conducted in 5 (4,7%) patients, including one laparoscopic longitudinal pancreatojejunostomy. Endoscopic intervention transpapillary with sufficient selection of patients eliminates the phenomenon of the biliary and pancreatic hypertension, but does not have long-term effects and serves as the first stage of surgery and endoscopic transmural anastomoses with the clear indications are effective. Interventional sonography techniques play an important but supporting role, breaking surgery on the steps and eliminate the main complications of the disease or surgery. Laparoscopic surgery for chronic pancreatitis are technically possible, but require further study and differentiated approach.


1. Buchler, M. W., Martignoni, H., Friess, H. & Malfertheiner, P. (2009). A proposal for a new clinical classification of chronic pancreatitis. BMC Gastroenterol., 9, 93–100.

2. Cooper, M. A., Datta, T. S. & Makary, M. A. (2014). Laparoscopic Frey Procedure for Chronic Pancreatitis. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 24, 16–20.

3. Vosoghi, M., Sial, S. & Garrett, B. (2002). EUS-guided pancreatic pseudocyst drainage: review and experience at Harbor-UCLA Medical Center. MedGenMed, 4, 20–29.

4. Khaled, Y. S., Ammori, M. B. & Ammori, B. J. (2011). Laparoscopic Lateral Pancreaticojejunostomy for Chronic Pancreatitis: A Case Report and Review of the Literature. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 21, 36–40.

5. Eleftherladis, N., Dinu, F. & Delhaye, M. (2005). Long-term outcome after pancreatic stenting in severe chronic pancreatitis. Endoscopy, 37, 223–230.

6. Cahen, D. L., Gouma, D. J. & Laramee, P. (2011). Long-term outcomes of endoscopic vs surgical drainage of the pancreatic duct in patients with chronic pancreatitis. Gastroenterology, 141(5), 1690–1695.

7. Zerem, E., Hauser, G. & Loga-Zec, S. (2015). Minimally invasive treatment of pancreatic pseudocysts. World J. Gastroenterol., 21, 6850–6860.

8. Ell, C., Rabenstein, T. & Schneider, H. T. (1998). Safety and efficacy of pancreatic sphincterotomy in chronic pancreatitis. Gastrointest Endosc., 48, 244–249.
How to Cite
Yareshko, V., Mikheiev, I., Zhivitsa, S., & Bambyzov, L. (2017). Minimally invasive technology in the treatment of complications of chronic pancreatitis. Reports of Vinnytsia National Medical University, 21(1(1), 71-75. Retrieved from