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Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

Zamolodchikov R.D.

Vishnevsky National Medical Research Center of Surgery

Zvereva A.A.

Vishnevsky National Medical Research Center for Surgery

Hybrid laparo-endoscopic operation in a patient with complicated choledocholithiasis

Authors:

Starkov Yu.G., Dzhantukhanova S.V., Zamolodchikov R.D., Zvereva A.A.

More about the authors

Journal: Endoscopic Surgery. 2022;28(3): 47‑52

DOI: 10.17116/endoskop20222803147

Views: 876

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To cite this article:

Starkov YuG, Dzhantukhanova SV, Zamolodchikov RD, Zvereva AA. Hybrid laparo-endoscopic operation in a patient with complicated choledocholithiasis. Endoscopic Surgery. 2022;28(3):47‑52. (In Russ.)
https://doi.org/10.17116/endoskop20222803147

Подписка 2025 (Endoscopic Surgery)
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Recommended articles:
Intraoperative diagnosis of choledocholithiasis by endo­scopic ultrasound. Russian Journal of Evidence-Based Gastroenterology. 2024;(1):6-11

PURPOSE OF THE STUDY

To demonstrate the experience of treating a patient with chronic stones cholecystitis complicated by choledocholithiasis by hybrid laparoscopic surgery.

MATERIAL AND METHODS

A 67-year-old patient who has been suffering from chronic stone cholecystitis for 25 years and refused surgical treatment. The course of the disease was complicated by acute cholecystitis, then choledocholitis, acute pancreatitis and pancreonecrosis, stricture of the terminal part of the common bile duct.

RESULTS

The total duration of the hybrid intervention was 80 minutes, the endoscopic stage was 35 minutes. The postoperative period proceeded without complications. The patient was discharged on the 4th day. The stent of the common bile duct was removed 1 month after discharge. The duration of observation of a persistent relapse-free period was 2 years.

CONCLUSION

The technique of performing hybrid laparoscopic endoscopic intervention to a patient suffering from gallstone disease for 25 years and its complications such as acute cholecystitis, choledocholithiasis, acute pancreatitis and pancreonecrosis allowed for one surgical intervention to achieve complete clinical success and early rehabilitation of the patient.

Keywords:

choledocholithiasis
antegrade papillosphincterotomy
hybrid laparoscopic surgery
postmanipulation pancreatitis

Authors:

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

Zamolodchikov R.D.

Vishnevsky National Medical Research Center of Surgery

Zvereva A.A.

Vishnevsky National Medical Research Center for Surgery

Received:

12.11.2021

Accepted:

30.11.2021

List of references:

  1. Starkov YuG. The effectiveness of lithotripsy depends on the acoustic and radiological characteristics of gallstones. Khirurgiya. Zhurnal im. N.I. Pirogova. 1997;5:39-45. (In Russ.).
  2. Borisov A.E., Kashchenko V.A., Kubachev K.G. Ways to optimize the standards of treatment of acute cholecystitis. Vestnik khirurgii im. I.I. Grekova. 2012;6:80-85. (In Russ.). https://doi.org/10.24884/0042-4625-2017-176-6-125-130
  3. Aliyev YuG, Chinikov MA, Panteleeva IS, Kurbanov FS, Popovich VK, Sushko AN. Results of surgical treatment of cholelithiasis from laparotomic and minimally invasive approaches. Khirurgiya. Zhurnal im. N.I. Pirogova. 2014;7:21-25. (In Russ.).
  4. Starkov YuG, Solodinina EN, Zamolodchikov RD, Dzhantukhanova SV, Vyborniy MI, Lukich KV. Endoscopic treatment of posttraumatic strictures of the bile ducts. Annaly khirurgicheskoi gepatologii. 2017;3:36-44. (In Russ.). https://doi.org/10.16931/1995-5464.2017336-44
  5. Starkov YuG, Solodinina EH, Shishin KV, Domarev LV. Intraoperative cholangiography in laparoscopic cholecystectomy. Semiotics of benign lesions of bile ducts. Meditsinskaya visualisatsiya. 2002;4:8-13. (In Russ.).
  6. Starkov YuG, Shishin KV, Solodinina EN, Domarev LV, Kobesova TA. Antegrade papillosphincterotomy during laparoscopic cholecystectomy. Khirurgiya. Zhurnal im. N.I. Pirogova. 2003;3:14-17. (In Russ.).
  7. Wada K, Takada T, Kawarada Y. Diagnostic criteria and severity assessment of acute cholangitis: Tokyo Guidelines. J. Hepatobiliary Pancreat Surg. 2007;14:52-58.  https://doi.org/10.1007/s00534-006-1156-7
  8. Tan C, Ocampo O, Ong R, Tan KS. Comparison of one stage laparoscopic cholecystectomy combined with intra-operative endoscopic sphincterotomy versus two-stage pre-operative endoscopic sphincterotomy followed by laparoscopic cholecystectomy for the management of pre-operatively diagnosed patients with common bile duct stones: a meta-analysis. Surg Endosc. 2018;32:770-778.  https://doi.org/10.1007/s00464-017-5739-y
  9. Mattilla A, Johanna M, Ilmeo K. Cost-analysis and effectiveness of onestage laparoscopic versus two-stage endolaparoscopic management of cholecystocholedocholithiasis: a retrospective cohort study. BMC Surgery. 2017;17.  https://doi.org/10.1186/s12893-017-0274-2
  10. Lu J, Cheng Y, Xiong X, Lin Y, Wu S, Cheng N. Two-stage vs single-stage management for concomitant gallstones and common bile duct stones. World J Gastrointerol. 2012;18(24):3156-3166. https://doi.org/10.3748/wjg.v18.i24.3156

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