OPERATIONS UNDER COMBINED VISUAL CONTROL FOR PANCREOLYTIASIS

Abstract

The article analyzes the experience of using minimally invasive lithoextraction operations under combined ultrasound, X-ray and endoscopic visual control in 62 patients with pancreatolithiasis. Lithoextraction from the pancreatic ducts was performed using the operations developed in the clinic: in 5 cases, antegrade lithoextraction using a balloon catheter, in 34 cases antegrade lithoextraction using bougies comparable to the lumen of the pancreatic duct, and in 23 cases using combined double access - antegrade and percutaneous retrograde endoscopic. The cumulative percentage of mild complications in the postoperative period was 14.5 % - 9 patients. Mortality was 1.6 % - 1 patient died from portal vein thrombosis in the late postoperative period. The most effective method of minimally invasive lithoextraction as a result of this study is the method of combined lithoextraction using double contralateral access to the duct - percutaneous and endoscopic, which allows removing calculi from any part of the pancreatic duct.