Moden strategies and technological innovations in the surgical treatment of benign obstructions of the distal choledochus
DOI:
https://doi.org/10.15574/PS.2026.1(90).111118Keywords:
choledochus, choledocholithiasis, mechanical jaundice, benign choledochus obstructions, surgical treatment of mechanical jaundice, robotic surgery, artificial intelligenceAbstract
Aim - to analyze information on modern surgical methods for the treatment of benign obstructions of the distal bile ducts leading to mechanical jaundice.
The analysis of the literature allows us to conclude that such methods as endoscopic ultrasound drainage of the bile ducts, magnetic compression anastomosis and robotic surgery turned out to be promising in the surgical treatment of benign obstructions of the distal choledochus in patients with mechanical jaundice, especially when traditional approaches are complex or ineffective. They are less traumatic, more accurate and make it possible to perform more complex surgical interventions than traditional surgery. However, further large-scale studies with long-term follow-up are needed to definitively determine the place of these new methods in clinical practice. It is important to carefully assess the effectiveness and safety of each method, determine the optimal criteria for selecting patients and compare them with traditional approaches. Further advances in technology such as improved stents, magnet delivery systems, and artificial intelligence integration will also play an important role in improving the surgical treatment of benign distal bile duct obstructions and improving patient outcomes. Further research and collaboration between specialists are key to optimizing treatment strategies and improving the quality of life of patients with this complex pathology.
The authors declare no conflict of interest.
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