Minimally invasive technology in the treatment of complications of chronic pancreatitis
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.
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