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

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

doi:https://doi.org/10.17116/hirurgia202206111

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

ORCID: 0000-0003-0335-1204

Karpov A.A.

Botkin Moscow City Clinical Hospital

SPIN RSCI: 9877-4166
Scopus AuthorID: 57209703234
ResearcherID: P-3874-2017
ORCID: 0000-0002-5142-1302

Ozerova D.S.

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

SPIN RSCI: 3252-6605
Scopus AuthorID: 57214100017
ORCID: 0000-0003-4996-5025

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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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 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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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

ORCID: 0000-0003-0335-1204

Karpov A.A.

Botkin Moscow City Clinical Hospital

SPIN RSCI: 9877-4166
Scopus AuthorID: 57209703234
ResearcherID: P-3874-2017
ORCID: 0000-0002-5142-1302

Ozerova D.S.

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

SPIN RSCI: 3252-6605
Scopus AuthorID: 57214100017
ORCID: 0000-0003-4996-5025

Received:

26.12.2021

Accepted:

18.01.2022

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