[Contemporary low-invasive, videoendoscopic and organ-sparing abdominal operations]

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Minimally Invasive Surgical Techniques
• Interventional Radiology

Context:

• Benign and malignant bile duct strictures pose significant clinical challenges.
• Pancreatic cysts, fistulas, and peritonitis require advanced treatment modalities.
• Conventional surgical interventions can be associated with high morbidity.

Purpose:

• To present the outcomes of novel, low-invasive, organ-sparing surgical techniques developed by the authors.
• To evaluate the efficacy of these minimally invasive procedures in a diverse patient cohort.
• To establish these techniques as viable alternatives to traditional surgical approaches.

Summary:

• The study details the application of original minimally invasive techniques including bile-duct drainage and endoprosthesis replacement (25 patients), transcutaneous pancreatic cyst drainage with sclerotherapy (93 patients), endoscopic pancreatic ductotomy (43 patients), embolization for arterio-pancreatic fistulas (7 patients), and laparoscopic abdominal sanitation (50 patients).
• These procedures were performed for conditions such as bile duct strictures, pancreatic cysts and fistulas, and diffuse peritonitis.
• The techniques encompass external, internal, and combined drainage methods, sclerotherapy, virsungotomy, endovascular embolization, and laparoscopic procedures.

Impact:

• The presented low-invasive methods demonstrate high effectiveness, offering significant advantages over conventional surgical interventions.
• These techniques facilitate organ preservation and potentially reduce patient recovery times and complications.
• The study highlights the successful application of innovative surgical solutions in complex hepatobiliary and pancreatic diseases.