Experience in using the combined method "Rendezvous" in interventions on the distal biliary tract
R. R. Mudarisov,
D. Yu. Komissarov,
R. M. Nagaev,
A. Kh. Mnoyan,
I. V. Yangirov,
G. A. Starkov,
Z. A. Gasanbekov https://doi.org/10.20340/vmi-rvz.2022.4.CASE.3
Abstract
The article presents our own experience of observation during interventions on the distal biliary tract using a combined method – "Rendezvous" in patients with pathology of the pancreatobiliary zone, complicated by obstruction of the bile ducts. In one case, with a pronounced adhesive process of the abdominal cavity with a surgical aid, the endoscope was carried out to the descending branch of the duodenum. Towards the endoscope through the stump of the cystic duct, a conductor string was brought down, which made it possible to visualize the major duodenal papilla (MDP), to perform retrograde papillosphincterotomy with choledocholithotomy. In the second case, if it was impossible to pass the guidewire retrogradely beyond the area of the tumor narrowing, an alternative method was used – bringing it down by percutaneous transhepatic access towards the endoscope to install a retrograde stent delivery system.
Supporting agencies: This research received no external funding.
About the Authors
R. R. Mudarisov
State Budgetary Healthcare Institution «City Clinical Hospital № 52»
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The author declare no competing interests.
D. Yu. Komissarov
State Budgetary Healthcare Institution «City Clinical Hospital № 52»
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
Автор заявляет об отсутствии конфликта интересов.
R. M. Nagaev
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The author declare no competing interests.
A. Kh. Mnoyan
State Budgetary Healthcare Institution «City Clinical Hospital № 52»
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The author declare no competing interests.
I. V. Yangirov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The author declare no competing interests.
G. A. Starkov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The author declare no competing interests.
Z. A. Gasanbekov
Yusupovskaya Hospital (OOO Neuro-Clinic)
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
The author declare no competing interests.
References
1. Tarabukin A.V., Mizgirjov D.V., Jepshtejn A.M., Pozdeev V.N., Pozdeev S.S., Duberman B.L. Biliary Decompression in Malignant Obstructive Jaundice. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(3):54-58. https://doi.org/10.16931/1995-5464.2015354-58 (In Russ).
2. Shapovaljanc S.G. et al. Potentials of endoscopic bilioduodenal stenting in treatment of neoplastic and fibrotic strictures of extrahe-patic bile ducts. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2008;18(6):57-63.
3. Nartajlakov M.A. Surgery of the liver and biliary tract. Feniks. 2007: 400?p. (In Russ).
4. Nartajlakov M.A., Sokolov S.V., Sokolov V.P., Gricaenko A.I., Muhamed'janov I.F., Risberg R.Ju. Analysis of complications of ante-grade X-ray endobiliary interventions in patients with obstructive jaundice. Bashkortostan Medical Journal. 2017;4(70):9-12. (In Russ).
5. Taylor A., Stapley S., Hamilton W. Jaundice in primary care: a cohort study of adults–aged more 45 years using electronic medical records. Family Practice. 2012;29:416-420. https://doi.org/10.1093/fampra/cmr118
6. Williams E., Beckingham I., Sayed G. et al. Updated guideline on the management of common bile duct stones (CBDS). Gut. 2017;66(5):765-782. http://dx.doi.org/10.1136/gutjnl-2016-312317
7. Maystrenko N.A., Stukalov V.V. Choledocholithiasis. ELBI-SPb. 2000:288 p.
8. Nechitaylo M.E., Grubnik V.V., Koval'chuk A.L. et al. Minimally invasive surgery for bile duct pathology. Kiev: Zdorov'e. 2005:424 p.
9. Starkov Ju.G., Solodinina E.N., Shishin K.V. Temporary endoscopic bile duct stenting. Khirurgiya. Zhurnal im. N.I. Pirogova = Pi-rogov Russian Journal of Surgery. 2007;6:47–61.
10. Hrustaleva M.V., Shatverdjan D.G., Godzhello Je.A. Endoscopic duodenobiliary drainage in the treatment of tumor stenosis of the pancreatobiliary zone. Clinical and experimental surgery. Journal named by Academician B.V. Petrovsky. 2014;3:90-98.
11. Zhdanov A.V., Korymasov E.A., Androsov A.N., Lezhnev M., Barilko E.V., Zhdanova, E.S. Stenting of the bile ducts according to the rendezvous method in the treatment of patients with obstructive jaundice of tumor etiology. Endoskopicheskaya Khirurgia. 2021;27(2): 17-26.
Review
For citations:
Mudarisov R.R., Komissarov D.Yu., Nagaev R.M., Mnoyan A.Kh., Yangirov I.V., Starkov G.A., Gasanbekov Z.A. Experience in using the combined method "Rendezvous" in interventions on the distal biliary tract. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2022;(4):84-92. (In Russ.) https://doi.org/10.20340/vmi-rvz.2022.4.CASE.3
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