[Modern methods of low-invasive treatment of the stricture and damage of the pancreatic duct, pancreatolithiasis].

The authors analyzed the experience of diagnostics and treatment of 49 patients. It was shown, that low-invasive methods of treatment (the endoscopic lithoextraction, stenting, surgical drainage) should be the priority means in treatment of pancreatolithiasis, strictures and cases of the pancreatic duct damage. The lethality consisted of 2.

[Choledocholithiasis in nonstandard situations: possibilities of combined methods of minimally invasive intervention].

The possibilities of minimally invasive combined interventions were shown in treatment of 49 patients with choledocholithiasis in nonstandard situations. The worked out and used minimally invasive combined operations allow ablation of concrements from bile ducts in patients who had undergone such operations as Billroth-II gastric resection and extirpation of the stomach and when cannulation of the major duodenal papilla is not possible. The authors have extended the possible application of minimally invasive methods of lithoextraction in patients with choledocholithiasis in nonstandard situations.

[The possibilities of combined methods of minimally invasive interventions in treatment of benign diseases and lesions of the bile ducts].

The authors have shown the possibilities of minimally invasive operations under ultrasonic, endoscopic and radiological control in treatment of patients with lesions and strictures of the bile ducts. The experience is based on an analysis of operations on 68 patients. In most patients the patency of ducts was restored without using open traditional operations due to the developed and used combined minimally invasive operations.

[Postnecrotic cysts of the pancreas: possible ways of minimally invasive external and internal drainage].

The authors have shown a possibility of minimally invasive interventional surgery in treatment of postnecrotic cysts of the pancreas and their complications. The most optimal accesses for drainage of the cavities located inside the body and the pancreas head are determined. The use of the methods of internal drainage of the cyst cavity connected with the main pancreatic duct allowed avoidance of open operations.

[Minimally invasive surgery of abscesses of the retroperitoneal space].

The article presents an experience with treatment of abscesses of the retroperitoneal space in 28 patients using interventions under ultrasonic control. All the patients underwent draining operations. Determination was made of optimal terms of operative treatment under the ultrasonic control depending on the character of pathological fluid accumulation; of rational approaches to the abscess cavity to support the safest passing the needle through the retroperitoneal space tissues.