Mini access as non-standard approach in surgical treatment of choledocholithiasis and block of terminal choledoch portion of tumor ethiology
We analyzed the experience of carrying out 1,248 mini access operations, of them 38 were performed on a common bile duct with application of biliodigestive anastomoses. Use of mini laparotomy methods with the set of MINIASSISTANT in the course of operations on CBD and BDA is, to our mind, unconventional approach to solving this problem. This method corresponds to all positive features of minimally invasive surgery. It is also necessary to mention that learning curve is faster compared to the course of training in endoscopic interference methods, as the guidelines are practically the same as those of traditional access. At present the issue of choosing approach to treatment in the presence of bile hypertension has not been solved so far.