Improving structural and functional principles of endoscopic tools design to solve existing problems of the hepatobilopancreatic area surgery | Ukrainian Medical Journal

Maksymenko M.V.,Havryliuk R.O.

Main
Publications
Improving structural and functional principles of endoscopic tools design to solve existing problems of the hepatobilopancreatic area surgery

Improving structural and functional principles of endoscopic tools design to solve existing problems of the hepatobilopancreatic area surgery

August 20, 2024

653

Surgery

Maksymenko M.V.

Havryliuk R.O.

УДК: 616-72:616-072.1:[616.36-089:616.367]

DOI: 10.32471/umj.1680-3051.165.256845

Keywords :

biliary tract surgical procedures,

Specialities :

Resume

Purpose: to analyze the possibilities of improving structural and functional design principles of endoscopic instruments to solve existing problems in hepatobiliary surgery.

Object and research methods. The article presents an overview of the problems and complications associated with both traditional and minimally invasive methods of surgical interventions in the pathology of the hepatobiliary zone, demonstrates their analysis, and suggests methods of solving them with the help of new useful models. The technical details of new drainage models for external-internal biliary-jejunal drainage, endoscopic sphincter of Oddi dilator and pusher for endobiliary stone translocation are described. Features of proprietary endoscopic instruments are highlighted, distinct advantages in design and functionality are demonstrated, and comprehensive information is provided on the potential impact on solving specific problems associated with the use of analog models.

The results. The prospects of creating new principles and useful models for improving the methods of surgical interventions on the organs of the hepatopancreatobiliary system based on the proposed structural and functional design principles of endoscopic instruments are revealed.

Conclusion. The presented model tools due to the successful use of features of structural and functional principles of technical design and improved design allow to change the approach to the complications that exist today, associated with the use of common analog tools.

References

1. Almuhaidb A., Olson D., Aadam A.A. (2021) Advancements in Endoscopic Biliary Interventions by Gastroenterology. Sem. Intervent. Radiol., 38(3): 280–290. doi.org/10.1055/s-0041-1731266.
2. Naringrekar H.V., Shahid H., Varghese C. et al. (2022) Extrapancreatic Advanced Endoscopic Interventions. Radiographics: a review publication of the Radiological Society of North America, Inc, 42(2): 379–396. doi.org/10.1148/rg.210087.
3. Cianci P., Restini E. (2021) Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches. World J. Gastroenterol., 27(28): 4536–4554. doi.org/10.3748/wjg.v27.i28.4536.
4. Fajardo R.A., Petrov R.V., Bakhos C.T. et al. (2020) Endoscopic and Surgical Treatments for Achalasia: Who to Treat and How? Gastroenterology clinics of North America, 49(3): 481–498. doi.org/10.1016/j.gtc.2020.05.003.
5. Ibrahim Mohamed B.K., Barajas-Gamboa J.S., Rodriguez J. (2022) Endoscopic Bariatric Therapies: Current Status and Future Perspectives. J. Soc. Laparoendoscop. Surg., 26(1): e2021.00066. doi.org/10.4293/JSLS.2021.00066.
6. Doshi B., Yasuda I., Ryozawa S., Lee G.H. (2018) Current endoscopic strategies for managing large bile duct stones. Digestive endoscopy: official journal of the Japan Gastroenterological Endoscopy Society, 30 Suppl. 1: 59–66. doi.org/10.1111/den.13019.
7. Rosseland A.R., Osnes M. (1989) Biliary concrements: the endoscopic approach. World J. Surg., 13(2): 178–185. doi.org/10.1007/BF01658396.
8. Fan S.T., Lai E.C., Mok F.P. et al. (1993) Early treatment of acute biliary pancreatitis by endoscopic papillotomy. New Engl. J. Med., 328(4): 228–232. doi.org/10.1056/NEJM199301283280402.
9. Williams E., Beckingham I., El Sayed G. et al. (2017) Updated guideline on the management of common bile duct stones (CBDS). Gut, 66(5): 765–782. doi.org/10.1136/gutjnl-2016-312317.
10. Moll C.F., de Moura D.T.H., Ribeiro I.B. et al. (2023) Endoscopic Biliary Darinage (EBD) versus Percutaneous Transhepatic Biliary Drainage (PTBD) for biliary drainage in patients with Perihilar Cholangiocarcinoma (PCCA): A systematic review and meta-analysis. Clinics (Sao Paulo, Brazil), 78: 100163. doi.org/10.1016/j.clinsp.2022.100163.
11. Ak Ç., Aykut H., Pala E. et al. (2022) Post-ERCP Complication Analysis of an Experienced Center. Surgical laparoscopy, endoscopy & percutaneous techniques, 32(6): 707–713. doi.org/10.1097/SLE.0000000000001113.
12. Othman A.A.A., Dwedar A.A.Z., ElSadek H.M. et al. (2021) Bile reflux gastropathy: Prevalence and risk factors after therapeutic biliary interventions: A retrospective cohort study. Annals of medicine and surgery, 2012(72): 103168. doi.org/10.1016/j.amsu.2021.103168.
13. Arvanitakis M., Dumonceau J.M., Albert J. et al. (2018) Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. Endoscopy, 50(5): 524–546. doi.org/10.1055/a-0588-5365.
14. Susak Y.M., Markulan L.L., Lobanov S.M. et al. (2023) Effectiveness of a new approach to minimally invasive surgery in palliative treatment of patients with distal malignant biliary obstruction. World J. Gastrointest. Surg., 15(4): 698–711. doi.org/10.4240/wjgs.v15.i4.698.
15. Насташенко І.Л. (2015) Транспапілярні втручання з приводу гострого панкреатиту. Клін. хір., 8: 32–34.
16. Shemesh E., Nass S., Czerniak A. (1989) Endoscopic sphincterotomy and endoscopic fulguration in the management of adenoma of the papilla of Vater. Surgery, gynecology & obstetrics, 169(5): 445–448.
17. Wilcox C.M. (2015) Sphincter of Oddi dysfunction Type III: New studies suggest new approaches are needed. World J. Gastroenterol., 21(19): 5755–5761. doi.org/10.3748/wjg.v21.i19.5755.