Results of application of minimally invasive and endoscopic technics in complex treatment of acute biliary pancreatitis
Abstract
The comparative estimation of different variants of surgical interventions effitiency has been held among 127 patients with acute biliary pancreatitis, who has had a treatment in clinic in the period from 1996 on 2006. It is established, that at patients suffering from acute destructive calculous cholecystitis complicated with a mechanic jaundice with attributes of enzymatic peritonitis, retrograde pancreatocholangiography (RPCG) should be held executed in a day of traditional cholecystactomy operation with choledocholytotomy and drenage of the common bilious duct through the stump of holecysticus duct and omental bursa through foramen of Winslow. RPCG and endoscopic papillosphincterotomy (EPST) should be the first stage in treatment of this disease at the rest of patients. At the second stage operation of a choice is laparoscopic holecystectomy. Due to the application of developed medical tactics, it is probably possible to lower a level of lethality and quantity of postoperative complications in comparison with alternative methods of biliary pancreatitis surgical treatment.
About the Authors
M. M. Vinokurov
МИ ЯГУ
Russian Federation
Russian Federation
V. V. Saveliev
МИ ЯГУ
Russian Federation
Russian Federation
V. G. Ammosov
МИ ЯГУ
Russian Federation
Russian Federation
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Review
For citations:
Vinokurov M.M., Saveliev V.V., Ammosov V.G. Results of application of minimally invasive and endoscopic technics in complex treatment of acute biliary pancreatitis. Yakut Medical Journal. 2007;(4):13-15. (In Russ.)
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