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Диагностическая лапароскопия в сложных случаях дифференциальной диагностики и оценке резектабельности у больных с очаговыми образованиями поджелудочной железы

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Литература:

Differential Diagnostics and Evaluation of Tumor's Resectability by Means of Laparoscopy at Patients with Pancreatic Neoplasms

Diagnostics of disease of a pancreas is extremely important and relevant problem of the abdominal surgery. Owing to a progress of medical technologies and since an introduction of different visualization modalities, such as endoscopic ultrasonography, computed tomography and magnetic resonance imaging, into a clinical practice, the diagnostics of different focal hepatopancreatobiliary lesions has been improved. However, the lack of pathognomonic, early clinical, and also differential diagnostic signs of tumorous, inflammatory and degenerative lesions of a pancreas has an impact on a quality of preoperative diagnostics and further treatment. According to the experience, we may confirm that diagnostic laparoscopy combined with laparoscopic ultrasonography is a high informative method of diagnostics of focal lesions of a pancreas. Although complex diagnostic laparoscopy isn't an obligatory diagnostic modality at focal pancreatic lesions, but it's the most informative method for a detection of tumor's resectability and differential diagnostics at patients with difficult unclear diagnosis. That allows to escape of an explorative laparotomy, to specify the diagnosis in time and to define a further treatment.

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