Analysis of the outcomes of standardized laparoscopic cholecystectomy

Bronshtein G.P.; Kossovich M.A.; Samsonyan E.Kh.; Alishikhov Sh.A.

doi:https://doi.org/10.17116/endoskop20263202128

Bronshtein G.P.

Russian University of Medicine, Moscow, Russia;
Centrosoyuz Hospital of the Russian Federation, Moscow, Russia

ORCID: 0000-0002-6197-4533

Kossovich M.A.

MEDSI Group of Companies, Moscow, Russia

ORCID: 0000-0001-8724-0514

Samsonyan E.Kh.

Russian University of Medicine, Moscow, Russia;
Centrosoyuz Hospital of the Russian Federation, Moscow, Russia

ORCID: 0000-0001-7984-6559

Alishikhov Sh.A.

Russian University of Medicine, Moscow, Russia;
Centrosoyuz Hospital of the Russian Federation, Moscow, Russia

ORCID: 0000-0003-0985-7126

Analysis of the outcomes of standardized laparoscopic cholecystectomy

Authors:

Bronshtein G.P., Kossovich M.A., Samsonyan E.Kh., Alishikhov Sh.A.

More about the authors

Journal: Endoscopic Surgery. 2026;32(2): 28‑34

DOI: 10.17116/endoskop20263202128

Read: 376 times

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To cite this article:

Bronshtein GP, Kossovich MA, Samsonyan EKh, Alishikhov ShA. Analysis of the outcomes of standardized laparoscopic cholecystectomy. Endoscopic Surgery. 2026;32(2):28‑34. (In Russ.)
https://doi.org/10.17116/endoskop20263202128

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

Использование инфографики авторами научных работ

OBJECTIVE

To evaluate the use of a safe standardized laparoscopic cholecystectomy (LCE) algorithm and assess its impact on intraoperative parameters, complication rates, and treatment outcomes compared with a traditional surgical technique.

MATERIAL AND METHODS

A retrospective comparative analysis of treatment outcomes was conducted in 407 patients with cholelithiasis and chronic calculous cholecystitis, who underwent surgery in 2024—2025. The control group consisted of 204 patients who underwent LCE using the traditional technique, and the study group consisted of 203 patients who underwent the procedure using the safe standardized LCE algorithm.

RESULTS

The use of the safe standardized LCE algorithm was associated with improvements in key intraoperative parameters: reduced operative time, blood loss, gallbladder perforation with stone prolapse, and the need for subhepatic drainage.

CONCLUSION

An algorithm for safe performance of standardized laparoscopic cholecystectomy has demonstrated its effectiveness, improving the quality and safety of surgical interventions. A comparative analysis with traditional methods showed that implementation of the algorithm significantly reduced the incidence of complications.

Keywords:

surgical safety algorithm

laparoscopic cholecystectomy

Authors:

Bronshtein G.P.

Russian University of Medicine, Moscow, Russia;
Centrosoyuz Hospital of the Russian Federation, Moscow, Russia

ORCID: 0000-0002-6197-4533

Kossovich M.A.

MEDSI Group of Companies, Moscow, Russia

ORCID: 0000-0001-8724-0514

Samsonyan E.Kh.

Russian University of Medicine, Moscow, Russia;
Centrosoyuz Hospital of the Russian Federation, Moscow, Russia

ORCID: 0000-0001-7984-6559

Alishikhov Sh.A.

Russian University of Medicine, Moscow, Russia;
Centrosoyuz Hospital of the Russian Federation, Moscow, Russia

ORCID: 0000-0003-0985-7126

Received:

02.02.2026

Accepted:

24.03.2026

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References:

Nechay AI. Postcholecystectomy Syndrome. Annals of Surgical Hepatology. 2006;11(1):28-33. (In Russ.).
Deng SX, Zhu A, Tsang M, Greene B, Jayaraman S. Staying safe with laparoscopic cholecystectomy: the use of landmarking and intraoperative time-outs. Art Surg. 2021;5:1. https://doi.org/10.21037/aos-21-1.aos.amegroups.org
Kossovich MA, Fedorov AV, Kashchenko VA, et al. Standardized Laparoscopic Cholecystectomy: Methodology for Forming Intraoperative Safety Algorithms. Endoscopic Surgery. 2025;31(1):25-30. (In Russ.). https://doi.org/10.17116/endoskop20253101125
Timerbulatov MV, Aziev MM, Grishina EE, Ziganshin TM. Reconstruction of the bile ducts after unsuccessful laparoscopic cholecystectomy (literature review). Creative Surgery and Oncology. 2023;13(2):159-164. (In Russ.). https://doi.org/10.24060/2076-3093-2023-13-2-159-164
Tafazal H, Spreadborough P, Zakai D, Shastri-Hurst N, Ayaani S, Hanif M. Laparoscopic cholecystectomy: a prospective cohort study assessing the impact of grade of operating surgeon on operative time and 30-day morbidity. Ann R Coll Surg Engl. 2018;100(3):178-184. https://doi.org/10.1308/rcsann.2017.0171
Livingston EH, Rege RV. A nationwide study of conversion from laparoscopic to open cholecystectomy. Am J Surg. 2004;188(3):205-211. https://doi.org/10.1016/j.amjsurg.2004.06.013