Pancreatic Disorders & Therapy
Open Access

Laser technologies and double balloon enteroscopy in surgery of chronic pancreatitis and mini-invasive treatment of its complications

3^rd International Conference on Hepatobiliary & Pancreatic Disorders

September 17-18, 2018 | Philadelphia, USA

Aliaksandr V Varabei

Belarusian Pancreatic Club, Belarus

Posters & Accepted Abstracts: Pancreat Disord Ther

Abstract :

After routine draining procedures for complicated ChP (classical Frey, Partington-Rochelle) recurrence of untreatable abdominal pain has more than 50% of patients. Modern techniques (Beger and its Bern modification, Izbicki) gives a high level of postoperative bleedings from pancreatic parenchyma. These procedures eliminate hypertension only in magistral pancreatic ducts. During January 2010�??September 2017 we operated on 442 patients with ChP, including 330 resection �?? draining procedures (74,7%). In a randomized trial (62 laser resection vs 63 with electrocoagulation) we reduced the level of postoperative bleeding into the Roux loop in 4,7 times (1,2% vs 5,6%). We received evidence that besides the magistral, exista peripheral ductal hypertension due to tributaryliths. Latter had 17,8% of patients with ChP. For its elimination was proposed and carried out in 43 cases so-called �??laser cylindric wirsung ectomy�?�. For the first time in the world, we executed 26 antegrade DBE of pancreaticojejunostomy (PJA) lumen for diagnosis of complications after elective surgery of ChP and their mini-invasive treatment (laser vaporization of PJA strictures and lithotripsy). During the follow up (6 to 72 months) after the surgical treatment, 93,4% of patients remained pain-free.

Biography :

E-mail: dept-surg@hotmail.com