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Ukhanov A.P.

Central City Clinical Hospital;
Jaroslav the Wise Novgorod State University

Zakharov D.V.

Central City Clinical Hospital;
Institute of Medical Education of Jaroslav the Wise Novgorod State University

Zhilin S.A.

Central City Clinical Hospital;
Jaroslav the Wise Novgorod State University

Bolshakov S.V.

Central City Clinical Hospital

Muminov K.D.

Central City Clinical Hospital

Aselderov Yu.A.

Central City Clinical Hospital

Modern minimally invasive technologies for the treatment of cholelithiasis

Authors:

Ukhanov A.P., Zakharov D.V., Zhilin S.A., Bolshakov S.V., Muminov K.D., Aselderov Yu.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(3): 33‑40

DOI: 10.17116/hirurgia202303133

Read: 3076 times

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Table of contents

MODERN MINIMALLY INVASIVE TECHNOLOGIES FOR THE TREATMENT OF CHOLELITHIASIS
MODERN MINIMALLY INVASIVE TECHNOLOGIES FOR THE TREATMENT OF CHOLELITHIASIS

To cite this article:

Ukhanov AP, Zakharov DV, Zhilin SA, Bolshakov SV, Muminov KD, Aselderov YuA. Modern minimally invasive technologies for the treatment of cholelithiasis. Pirogov Russian Journal of Surgery. 2023;(3):33‑40. (In Russ.)
https://doi.org/10.17116/hirurgia202303133

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Abstract:

Surgical community has not yet reached any consensus on the adequate treatment of gallstone disease with combined stones of the gallbladder and bile ducts. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic papillosphincterotomy (EPST) followed by laparoscopic cholecystectomy (LCE) have been considered the optimal treatment method for the past thirty years. Thanks to improvement of technologies and experience in laparoscopic surgery, many centers in the world offer simultaneous treatment of cholecystocholedocholithiasis, i.e. LCE and laparoscopic choledocholithotomy. Transcystical and transcholedochal extraction of calculi from the common bile duct is the most common. Intraoperative cholangiography and choledochoscopy are used to assess extraction of calculi while T-shaped drainage, biliary stent and primary suture of common bile duct are used to complete choledocholithotomy. Laparoscopic choledocholithotomy is associated with certain difficulties, requires some experience in choledochoscopy and intracorporeal suturing of common bile duct. There are many unresolved issues regarding the choice of laparoscopic choledocholithotomy technique depending on the number and dimensions of stones, diameter of cystic duct and common bile duct. The authors analyze literature data on the role of modern minimally invasive interventions in the treatment of gallstone disease.

Keywords:

transpapillary endoscopic interventions
laparoscopic cholecystectomy
choledocholithiasis
laparoscopic choledocholithotomy
primary suture of the common bile duct

Authors:

Ukhanov A.P.

Central City Clinical Hospital;
Jaroslav the Wise Novgorod State University

Zakharov D.V.

Central City Clinical Hospital;
Institute of Medical Education of Jaroslav the Wise Novgorod State University

Zhilin S.A.

Central City Clinical Hospital;
Jaroslav the Wise Novgorod State University

Bolshakov S.V.

Central City Clinical Hospital

Muminov K.D.

Central City Clinical Hospital

Aselderov Yu.A.

Central City Clinical Hospital

Received:

23.05.2022

Accepted:

20.06.2022

Close metadata

References:

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