Endoscopic surgery for calculous cholecystitis in combination with non-malignant affection of extra-hepatic bilious ducts
Khadzhibaev, A.M.; Atadzhanov, S.K.; Khoshimov, M.M.
Khirurgiia 2: 40-43
2009
ISSN/ISBN: 0023-1207 PMID: 19365334 Document Number: 632994
Treatment results were analyzed in 318 patients with calculous cholecystitis in combination with non-malignant affection of extra-hepatic bilious ducts undergoing stage-by-stage endoscopic and laparoscopic operations. Relying on results of endoscopic retrograde cholangiopancreatography choledocholithiasis was revealed in 163 (53.1%) patients, common bile duct's (CBD) terminal part stenosis--in 32 (10.4%) patients, combination of choledocholithiasis and CBD terminal part stenosis--in 41 (13.4%) patients. Laparoscopic operation was started in 318 patients at the second stage of treatment. It was possible to carry out laparoscopic cholecystectomy in 305 (96%) of these patients including 5 patients who underwent Pikovsky's CBD drainage owing to clinical finding of acute pancreatitis. Conversion was carried out to 13 (4%) patients with marked inflammatory infiltration in the hepatoduodenal ligament area. Among all complications of laparoscopic cholecystectomy damage of extra-hepatic bilious ducts was observed in 2 patients. Lethal outcome was observed in one case (0.3%).