Оперативная дуоденоскопия: транспапиллярные вмешательства
Материалы и основные положения работы доложены и обсуждены на: второй и третьей международной научно-практической конференции «Здоровье и образование в XXI веке» (Москва, 2001, 2002) — шестом, седьмом, девятом и двенадцатом Московском Международном конгрессе по эндоскопической хирургии (Москва, 2002, 2003, 2005, 2008), VI Международном Евразийском конгрессе гастроэнтерологов и хирургов (Баку… Читать ещё >
Содержание
- Список сокращений, принятых в работе
Глава I. Место эндоскопических транспапиллярных вмешательств в лечении доброкачественной и злокачественной патологии органов билиопанкреатодуоденальной области (обзор литературы).
1.1. Эндоскопические транс папиллярные вмешательства в лечении осложнений желчнокаменной болезни.
1.1.1. Эндоскопические транспапиллярные вмешательства и лапароскопическая холе-цистэктомия.
1.1.2. Эндоскопические транс папиллярные вмешательства в лечении острого холангита и билиарного панкреатита.
1.1.3. Эндоскопические транспапиллярпые вмешательства в лечении осложнений после хирургических вмешательств на желчных протоках.
1.2. Эндоскопические транспапиллярные вмешательства в лечении доброкачественной патологии поджелудочной железы.
1.2.1. Билиарная обструкция при хроническом панкреатите.
1.2.2. Эндоскопическое лечение хронического панкреатита.
1.2.3. Псевдокисты и панкреатические свищи.
1.3. Эндоскопические транспапиллярные вмешательства при злокачественных опухолях билиопанкреатодуоденальной области.
1.4. Осложнения эндоскопических транспапиллярных вмешательств.
Глава II. Клинический материал и методы исследования.
2.1. Методические подходы и методы исследования.
2.2. Характеристика клинических наблюдений.
2.2.1. Пациенты с осложнениями желчнокаменной болезни и осложнениями после операций на желчных протоках.
2.2.2. Пациенты с хроническим панкреатитом.
2.2.3. Пациенты с опухолями билиопанкреатодуоденальной области.
Глава III. Выполнение транспапиллярных вмешательств на желчных протоках и протоках поджелудочной железы.
3.1. Оборудование и инструментарий.
3.2. Выполнение ЭРХПГ.
3.2.1. Подготовка пациента.
3.2.2. Проведение эндоскопа, визуализация и канголяция БСДК.
3.2.3. Контрастирование и рентгенологическое исследование.
3.2.4. Интерпретация рентгенограмм.
3.2.5. Сложности канюляции.
3.3. Выполнение эндоскопических транспапиллярных вмешательств.
3.3.1. Эндоскопическая папиллосфинктеротомия.
3.3.1.1. ЭПСТ с использованием проводника.
3.3.2. Экстракция конкрементов и механическая литотрипсия.
3.3.3. Дилятация и бужирование протоков.
3.3.4. Дренирующие вмешательства.
3.3.4.1. Назобилиарное, назопанкреатическое и цистоназальное дренирование.
3.3.4.2. Билиарное и панкреатическое эндопротезирование.
Глава IV. Результаты лечения пациентов с доброкачественными заболеваниями органов билиопанкреатодуоденальной области.
4.1. Результаты лечения пациентов с осложнениями желчнокаменной болезни и осложнениями после операций на желчных протоках.
4.1.1. Синдром Мириззи.
4.1.2. Стриктуры желчных протоков.
4.2. Сравнение ближайших результатов эндоскопических и хирургических операций у пациентов с холедохолитиазом и стенозом БСДК.
4.3. Результаты лечения пациентов с хроническим панкреатитом.
4.4. Сравнение ближайших результатов эндоскопических и хирургических операций у пациентов с хроническим панкреатитом.
Глава V. Результаты лечения пациентов со злокачественными заболеваниями органов билиопанкреатодуоденальной области.
5.1. Результаты эндоскопического лечения пациентов с опухолевой обструкцией желчных протоков.
5.2. Сравнение ближайших результатов эндоскопических и хирургических операций у пациентов с опухолевой билиарной обструкцией.
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