Integrated use of Modern Miniinvasive Interventions under Radiation Guidance in the Surgical Treatment Pancreatic Cysts

Abstract

Purpose. To evaluate the capabilities of modern minimally invasive interventions under the beam guidance in the surgical treatment of pancreatic cysts. Materials and Methods. The results of the examination and surgical treatment of 82 patients with pancreatic cysts. Percutaneous puncture drainage under ultrasonographic guidance holds 56 (68.3 %) patients, endoscopic transpapillary intervention in 19 (23.2%) patients, endoscopic transmural drainage of cysts by ultrasonography - in 7 (8.5%). Results. After performing percutaneous drainage of cysts positive results were observed in 51 (91.1%) patients. In 14 (25.0%) patients in the control studies showed preservation of the residual cystic cavity is not more than 3 cm in diameter, without clinical manifestations, that is not regarded as a relapse. Relapses cystic formations were observed in 5 (8.9%) patients. Positive results transpapillary stenting of the main pancreatic duct was observed in 16 patients. In 3 cases, endoscopic stenting GLP was not effective. Subsequently, the patients underwent percutaneous drainage of puncture with a positive result. Endoscopic transmural drainage under ultrasonography noted one intraoperative complication - perforation of the stomach wall. 6 patients had a good result. Term follow up of patients ranged from 10 months to 3 years. Conclusion. Integrated use of modern percutaneous endoscopic and minimally invasive interventions under the beam guidance in 82 patients with pancreatic cysts, yielded positive results in 79 (96.3%) cases, which confirms the efficiency and the prospects for further study and application of these minimally invasive procedures.