Minimally invasive methods of surgical treatment for diseases of liver, biliary tract, and pancreas

摘要

Results of examination of 324 biopsies from hepatopancreatoduodenal zone were analyzed. The biopsy was performed as roentgentelevision- or US-guided procedure with Pro-Mag 2.2 device. There were no complications. Percutaneous endoprosthesis of biliary ducts was performed in 127 patients (89% of them were older than 65 years) with obstructive jaundice. Roentgen- or gastroscopy-guided hepaticogastroanastomosis was formed in 36 patients with different diseases. The follow-up was to 18 months in malignant tumors, and to 26 months in benign strictures. Video-assisted drainage of gall bladder in acute cholecystitis was performed in 436 patients with cholelithiasis and severe concomitant diseases. Results of many-stage treatment of 207 patients with choledocholithiasis were analyzed, residual disease was revealed in 11 (5.6%) patients. pecheni, zhelchnykh putei i podzheludochnoi zhelezy.