Novosti
Khirurgii
This journal is
indexed in Scopus



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, Kers 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, Kers 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.

Keywords: cholecystocholedocholithiasis, single-stage laparoscopic operations, laparoscopic cholecystectomy, laparoscopic choledocholithotomy
p. 25 29 of the original issue
References

1.Nichitajlo ME. Laparoskopicheskaja jeksploracija obwego zhelchnogo protoka pri kholedoholitiaze [Laparoscopic exploration of common bile duct for choledocholithiasis]. Annaly Khirurg Gepatologii. 2004;9(1):12528.
2.Hanif F, Ahmed Z, Samie MA, Nassar AH. Laparoscopic transcystic bile duct exploration: the treatment of first chouce for common bile duct stones. Surg Endosc. 2010;24(7):155256.
3.Savita KS, Bhartia VK. Laparoscopic common bile duct exploration. Indian J Surg. 2010;72(5):39599.
4. Revjakin VI, Grinev SV, Prokushev VS. Taktika rentgenologicheskogo lechenija kholedoholitiaza [The tactics of X-ray treatment of choledocholithiasis] Endoskop Khirurgija. 2008;(2):39.
5.Stromberg C, Nilsson M, Leijonmark CE. Stone clearance and risk factors for failure in laparoscopic transcystic exploration of common bile duct. Surg Endosc. 2008;22:119499.
6.Gallinger JuM, Karpenkova VI, Amelina MA. Rezul'taty laparoskopicheskoj kholecistjektomii [Results of laparoscopic cholecystectomy]. Endoskop Khirurgija. 2002;(2):2526.
7.Chandio A, Timmons S, Majeed A, Twomey A, Aftab F. Factors influencing the completion of laparoscopic cholecystectomy. Journal of the Society of Laparoendoscopic Surgeons. 2009;13(4):58186.

Address for correspondence:
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
Information about the authors:
Boboev B.D. Candidate of medical sciences, applicant for Doctors degree of the chair of faculty surgery of State Medical University named after acad. I.P. Pavlov.
Contacts | ©Vitebsk State Medical University, 2007