COMBINED MINIMALLY INVASIVE METHOD OF TREATING CHOLEDOCHOLITHIASIS WITH ATYPICAL LOCATION OF THE MAJOR DUODENAL PAPILLA
Keywords:
Choledocholithiasis, atypical major duodenal papilla (MDP), antegrade guidewire, ERCP (Endoscopic Retrograde Cholangiopancreatography), minimally invasive surgery.Abstract
The article presents a combined minimally invasive method for treating choledocholithiasis in patients with an atypical location of the major duodenal papilla (MDP). Based on a retrospective analysis of 132 cases, the high effectiveness of the method is demonstrated, which involves the antegrade insertion of a guidewire under ultrasound control. The results showed a reduction in the incidence of postoperative complications to 5.7% and an increase in the success rate of common bile duct (CBD) clearance to 97.1%. The method is recommended for patients with scarring deformations, diverticula, and tumor changes in the periampullary region.
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S.E. Mamarajabov , Zh.A. Rizaev , S.R. Baimakov // Current aspects of medical activity: collection of articles of the I International Scientific- practical conference, Kirov - Samarkand, June 21, 2021. – Kirov: Federal State Budgetary Educational Institution of Higher Education “Kirov State Medical University” of the Ministry of Health of the Russian Federation, 2021. – P. 209-212. – EDN DOETDC.
