Treatment with a minoinvasive method of the major duodenal papilla

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.