[Minimally invasive surgery for the treatment of pancreatic fistulas].

Results of treatment of 6 patients with pancreatic fistula by US-, radioscopy-, and endoscopy-guided formation of transcutaneous pancreatogastric anastomosis are presented. The procedure of pancreatogastric anastomosis is described. The causes of formation of fistulas were: operations due to pancreatitis - 4 cases, trauma of a pancreas -- 1 case, percutaneous drainage of a cyst -- 1 case. By application of the given procedure, complete closure of a fistula without relapses (maximal term of observation 1 year) was possible. The complications linked to performance of transcutaneous manipulation have not been noted. Lethality was not observed. It may be assumed, that the developed original procedure and using the Ivshin's device for the drainage of cavity formations can become a method of a choice in the treatment of patients with non-perishable outside pancreatic fistulas. Assessment of the parameters of the quality of life has shown that patients were quickly reverted to social and intellectual activity.