Treatment with a minoinvasive method of the major duodenal papilla
https://doi.org/10.21518/2079-701X-2018-14-118-123
Abstract
In this article there are data of comparative analysis of the results of minimally invasive treatment of benign stenosis of the major duodenal papilla through the use of endoscopic retrograde papillosphincterotomy and antegrade laser papillotomy carried out by means of high-energy holmium (YAG:Ho) laser.
Resolution of stenosis of the major duodenal papilla was performed in the patients of the control group (n = 102) through the use of endoscopic papillosphincterotomy before and after laparoscopic cholecystectomy.
Antegrade laser papillotomy (invention patent №2449757 from 09.11.2010) and cholecystectomy were performed in the patients of core group (n = 35) in the presence of evidence.
Antegrade laser papillotomy was successfully performed in all cases. It allows to less traumatic resolve the stenosis of the major duodenal papilla, even in its intradiverticular location and with the combination of choledoholitiasis. It minimizes the possibility of complications such as bleeding, perforation, pancreatitis in comparison with retrograde techniques.
About the Authors
N. V. Levchenko
State Medical Academy of Khanty-Mansiysk;
Nyagan District Hospital
Russian Federation
Russian Federation
Khanty-Mansiysk;
Nyagan
V. V. Khrachkov
State Medical Academy of Khanty-Mansiysk
Russian Federation
Khanty-Mansiysk
Russian Federation
Khanty-Mansiysk
R. R. Shavaliev
State Medical Academy of Khanty-Mansiysk;
Nyagan District Hospital
Russian Federation
Russian Federation
Khanty-Mansiysk;
Nyagan
D. P. Kislitsyn
State Medical Academy of Khanty-Mansiysk;
District Clinical Hospital
Russian Federation
Russian Federation
Khanty-Mansiysk
References
1. Andreev AL, Rybin EP, Uchvatkin EG, Filin AS, et al. Combined endoscopic surgery of cholelithiasis complicated by diseases of the terminal section of the common bile duct. Vestn. Khirurgii im. I.I. Grekova, 1997, 156 (3): 30-34.
2. Vetshev PS. Mechanical jaundice: causes and diagnostic approaches (lecture). Annaly Khirurg. Gepatologii, 2011, 16 (3): 50-57.
3. Galperin EI, Vetshev PS. Guidelines for biliary tract surgery. M.: Vidar-M, 2009. 568 p.
4. Glebov KG, Kotovsky AE, Dyuzheva TG. Criteria for selecting the endoprosthesis design for endoscopic stenting of the bile duct. Annaly Khirurg. Gepatologii, 2014, 19 (2): 55-65.
5. Ermolov AS, Ivanov PA, Blagovestnov DA, Demchenko SS, et al. The tactics of treatment of acute cholecystitis complicated by choledocholithiasis. Khirurgiya. Zhurn. im. N.I. Pirogova, 2014, 1: 10-14.
6. Malyarchuk VI, Fedorov AG, Davydova SV, et al. Factors affecting the results of endoscopic transpapillary interventions in patients with choledocholithiasis and stenosis of the major duodenal papilla. Endoscopicheskaya Khirurgiya, 2005, 11 (2): 30-39.
7. Mikhaylusov SV, Moiseenkova EV, Misrokov MM. Features of the course of pancreatic necrosis against the background of the stone of the major duodenal papilla. Ros. Zhurn. Gastroenterologii, Gepatologii, Koloproktologii, 2014, 5: 29-35
8. Nazarenko PM, Kanishchev YuV, Nazarenko DP, Volkov DV. Intraoperative management of bile duct pathology during laparoscopic cholecystectomy. Materials of the constituent congress of the Russian Society of Surgeons-Hepatologists. Sochi, 2004. P. 43
9. Parkhisenko YuA, Zhdanov AI, Parkhisenko VYu, Kalashnik RS. Mechanical jaundice: modern views on the problem of diagnosis and surgical treatment. Ukrainsky Zhurnal Khirurgii, 2013, 3 (22): 202-211.
10. Pat. 2449757 RF. Method of laser papillotomy.
11. Slavin LE. Laparoscopic cholecystectomy. Pract. Meditsina, 2010, 41: 30-35.
12. Starkov YuG, Strekalovsky VP, Grigoryan PC, Rizaev KS, et al. Antegrade papillosphincterotomy during laparoscopic cholecystectomy. Annaly Khirurg. Gepatologii, 2001, 6 (1): 99-106.
13. Revyakin VI, Klimov PV, Ibragimov NI, et al. Complications and lethality after endoscopic papillosphincterotomy: an experience of 1300 operations. Russian symposium «Intraluminal endoscopic surgery». Collection of abstracts. Under editorship of Gallinger YuI, Prof. M., 1998: 67-69.
14. Shapovalyanets SG, Orlov SYu, Budzinsky SA, et al. Possibilities of endoscopic methods in the treatment of complex choledocholithiasis. Materials of the 13th International Congress of Surgeons-Hepatologists. Almaty, 2006, 11 (3): 127.
15. Andriulli A, Leandro G, Niro G et al. Pharmacologic treatment can prevent pancreatic injury after ERCP: a meta-analysis. Gastrointest Endosc, 2000, 51: 1-7.
16. Catheline J-M, Turner R, Rizk N, Barrat C et al. Evaluation of the biliary tree during laparoscopic cholecystectomy: laparoscopicultrasound versus intraoperative cholangiography: a prospective study of 150 cases. Surg Laparosc Endosc, 1998, 8(2): 85–91.
17. Golden WE, Jonston JC, Cleves MA. S. Laparoscopic cholecystectomy in the geriatric population. J Am Geriatr Soc, 1996, 44(11): 1380–1383.
18. Voitk A. Its outpatient cholecystectomy safe for the hingerrriscelective patient. Surg Endosc, 1997, 11(12): 1147–1149.
19. Wojtuń S, Gil J, Zyśko B. The use of endoscopic method in treatment of strictures of biliary tree. Pol Merkur Lekarski, 2007, 22(131): 477– 481.
Review
For citations:
Levchenko NV, Khrachkov VV, Shavaliev RR, Kislitsyn DP. Treatment with a minoinvasive method of the major duodenal papilla. Meditsinskiy sovet = Medical Council. 2018;(14):118-123. (In Russ.) https://doi.org/10.21518/2079-701X-2018-14-118-123
Views:
1035
Email this article 