Novosti
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This journal is indexed in Scopus |
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Year 2012 Vol. 20 No 1
GENERAL AND SPECIAL SURGERY
B.D. BOBOEV
SINGLE-STAGE LAPAROSCOPIC OPERATIONS AT CHOLECYSTOCHOLEDOCHOLITHIASIS
SBEE HPE “Saint-Petersburg State Medical University named after academician I.P. Pavlov”,
the Russian Federation
Objectives. To evaluate the possibilities of laparoscopic technologies in treatment of patients with cholecystocholedocholithiasis.
Methods. The treatment results of 94 patients with cholecystocholedocholithiasis were analyzed in the article. Laparoscopic surgeries were carried out in 94 patients and had successful outcomes in 92 patients (97,8%); the other 2 patients (2,1%) underwent the conversion (laparotomy, choledocholithotomy, Ker’s choledoch drainage).
Results. In 30 cases (32%) laparoscopic cholecystectomy (LCE) was done, extraction of concretions through the cystic duct, Halsted-Pikovsky choledoch drainage; in 21 cases (22,3%) – LCE, choledocholithotomy, Halsted-Pikovsky choledoch drainage; in 38 (40,4%) – LCE, LCE, choledocholithotomy, Ker’s common bile duct drainage; in 3 cases (3,2%) – LCE combined with supraduodenal choledochoduodenostomy; in 2 cases (2,1%) – conversion to the laparoscopic access was performed because of the laparoscopic choledocholithotomy failure.
Conclusions. Single-stage laparoscopic methods of cholecystocholedocholithiasis treatment are less traumatic and more physiologic ones and permit to save sphincter apparatus of the major duodenal papilla.
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197089, Rossiiskaia Federatsiia, g. Sankt-Peterburg, ul. L'va Tolstogo, d. 6/8, korp. 37, GBOU VPO “Sankt-Peterburgskii gosudarstvennyi meditsinskii universitet imeni akad. I.P. Pavlova”, kafedra fakul'tetskoi khirurgii,
e-mail: boda75@mail.ru,
Boboev Bakhodur Dzhamshedovich
Boboev B.D. Candidate of medical sciences, applicant for Doctor’s degree of the chair of faculty surgery of State Medical University named after acad. I.P. Pavlov.
