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Shabunin A.V.

Russian Medical Academy of Continuous Professional Education;
Botkin Moscow City Clinical Hospital

Tavobilov M.M.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Karpov A.A.

Botkin Moscow City Clinical Hospital

Ozerova D.S.

Botkin Moscow, City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Modern approaches to the treatment of patients with a complicated form of gallstone disease in the Botkin hospital

Authors:

Shabunin A.V., Tavobilov M.M., Karpov A.A., Ozerova D.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(6): 11‑17

DOI: 10.17116/hirurgia202206111

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Table of contents

MODERN APPROACHES TO THE TREATMENT OF PATIENTS WITH A COMPLICATED FORM OF GALLSTONE DISEASE IN THE BOTKIN HOSPITAL
MODERN APPROACHES TO THE TREATMENT OF PATIENTS WITH A COMPLICATED FORM OF GALLSTONE DISEASE IN THE BOTKIN HOSPITAL

To cite this article:

Shabunin AV, Tavobilov MM, Karpov AA, Ozerova DS. Modern approaches to the treatment of patients with a complicated form of gallstone disease in the Botkin hospital. Pirogov Russian Journal of Surgery. 2022;(6):11‑17. (In Russ.)
https://doi.org/10.17116/hirurgia202206111

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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OBJECTIVE

To determine the optimal timing of laparoscopic cholecystectomy in patients with gallstone disease complicated by cholelithiasis after endoscopic retrograde papillosphincterotomy with lithoextraction.

MATERIAL AND METHODS

We analyzed treatment outcomes in 229 patients with gallstone disease complicated by cholelithiasis between 2016 and 2020. Simultaneous surgery was performed in 31 patients, early cholecystectomy (after 1—3 days) — in 78 cases, delayed cholecystectomy (after 4—7 days) — in 35 cases and delayed cholecystectomy in 14—30 days after endoscopic retrograde papillosphincterotomy with lithoextraction in 85 cases.

RESULTS

Simultaneous laparoscopic cholecystectomy and surgery in early period after endoscopic retrograde papillosphincterotomy with lithoextraction are followed by less surgery time, few postoperative complications and less hospital-stay.

CONCLUSION

Simultaneous laparoscopic cholecystectomy and early surgery after endoscopic retrograde papillosphincterotomy with lithoextraction are preferred for patients with complicated gallstone disease. However, this requires adherence to strict criteria for patient selection.

Keywords:

cholelithiasis
endoscopic retrograde cholangiopancreatography
endoscopic papillosphincterotomy
endoscopic lithoextraction
laparoscopic cholecystectomy

Authors:

Shabunin A.V.

Russian Medical Academy of Continuous Professional Education;
Botkin Moscow City Clinical Hospital

Tavobilov M.M.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Karpov A.A.

Botkin Moscow City Clinical Hospital

Ozerova D.S.

Botkin Moscow, City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Received:

26.12.2021

Accepted:

18.01.2022

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