Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации9522Conference ProceedingsAntegrade choledochoscopy in laparoscopic cholecystectomy is a method of diagnosis and treatment of papillostenosisSakhabetdinovBulat Ayratovich<p>аssistant of the Department of Operative Surgery and Topographic Anatomy</p>b.sahabet@gmail.comhttps://orcid.org/0000-0003-4867-3194AbdullinaDiana Damirovna<p>student</p>diana140702@mail.ruhttps://orcid.org/0009-0000-1409-0463GarifullovaAlina Rafaelovna<p>student</p>garifullova070801@mail.ruhttps://orcid.org/0009-0000-3569-6528KurbangaleevArsen Irekovich<p>candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases, head of the Research and Implementation Center of Endosurgery of the Ministry of Health of the Republic of Tatarstan, head of the surgical service of the State Medical Institution of the Central Clinical Hospital № 18</p>ar2kur@mail.ruhttps://orcid.org/0009-0003-4259-4281Kazan State Medical UniversityCentral Clinical Hospital No. 182806202413143471402202410042024Copyright © 2024, Sakhabetdinov B.A., Abdullina D.D., Garifullova A.R., Kurbangaleev A.I.2024<p>In the last 30-40 years, there has been a negative trend in the incidence of cholelithiasis, which is complicated by the development of papillostenosis of various degrees. Now widely used in the diagnosis and treatment of papillostenosis: ERHPG and EPST, but these types of surgical correction of the pathology of BDS have disadvantages. In this connection, antegrade choledochoscopy with subsequent augmentation is an option for the diagnosis and correction of papillostenosis narrowing of varying degrees. The purpose of the study is to evaluate the effectiveness of endoscopic antegrade choledochoscopy (EAC) in papillostenosis of various degrees. Materials and methods: 31 case histories of a patient who was hospitalized in the surgery department from 2013 to 2022 with BDS stenosis complicated by mechanical jaundice, who underwent EAC followed by BDS augmentation, were analyzed. Of 100% of patients 3,2% (1 patient) - had a history of BDS restenosis after undergoing LHE, antegrade choledoscopy and BDS augmentation (4,5 years after the first intervention), he underwent CPG, EPST. This technique for the diagnosis and treatment of papillostenosis has a large 5-year effectiveness (96,8%).</p>surgerypapillostenosisaugmentationcholedochoscopyхирургияпапиллостенозбужированиехоледохоскопия1.Лучевые методы исследования в дифференциальной диагностике механической желтухи /А.Я. Ильканич, С.В. Тигран, В.В. Дарвин [и др.] // Хирург. - 2015. -N 11-12. - С.12-17.2.Котовский А.Е., Глебов К.Г., Сюмарева Т.А., Дюжева Т. Г., Зверева А.А. Эндоскопические методы диагностики и лечения папиллостеноза - Вестник хирургии имени И. И. Грекова - 2016 Т. 175 №2, С. 21-25.3.Неборская Ю.А., Фатуллаева Г.А., Скрипаль Е.А.Эффективность проведения ретроградной холангиопанкреатографии и эндоскопической папиллосфинктеротомии с учетом профилактики осложнений антисекреторной терапией - Bulletin of Medical Internet Conferences (ISSN 2224-6150)2020. Volume 10. Issue 2 С.-64.4.Ринчинов В.Б., Плеханов А.Н., Лудупова Е.Ю. Оценка эффективности различных эндоскопических транспапиллярных вмешательств по поводу крупного холедохолитиаза. Хирургия. Журнал им. Н.И. Пирогова. 2019;(6):60‑64 https://doi.org/10.17116/hirurgia201906160.