RESUMO
The article shows a retrospective analysis of endoscopic cholangioscopic conducted as an independent intervention after endoscopic retrograde cholangiopancreatography, and as an auxiliary manipulation during open and laparoscopic surgery. Was demonstrated that cholangioscopic manipulation can be an effective tool both in diagnosis and in prevention and treatment of recurrent and residual cholangiolitiasis, particularly in difficult-to-standard endoscopic techniques of cases. Were refined indications for manipulation and evaluated the diagnostic value and therapeutic effectiveness of the cholangioscopic manipulations. Based on our experience, were refined features and advantages of the methodology and limitations were analyzed and the reasons for the failures and suggests ways to overcome them.
Assuntos
Colangiopancreatografia Retrógrada Endoscópica , Colecistolitíase/diagnóstico , Colecistolitíase/terapia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
The article is dedicated to non-typical methods of operation of endoscopical papillothomiya. The article presents the history of elaboration of different methods of non-typical endoscopical papillothomiya, the results of analyze of data from the literature with a survey of discussable items about the necessity, effectiveness and safety of non-typical methods of endocsopical papillothomiya. The authors offered the classification of these methods, defined the conditions of using and gave the data of their own researches of effectiveness and frequency of complications during the process of operation of endoscopical papillothomiya by non-typical methods.
