1. Ryazan State Medical University (Ryazan, Russian Federation)

Keywords:Laparoscopic choledocholithotomy, choledocholithiasis, video-endoscopic techniques

Abstract:Purpose: Improve treatment outcomes in patients with cholelithiasis complicated by choledochal-tiasa, through the introduction and improvement of the videoendoscopic technology. Materials and methods: 97 patients with cholelithiasis complicated by choledocholithiasis and/or stenosing duodenal papillitis is divided into two homogeneous groups. In the main group (n=47) of the patients operated using laparoscopy, in control (n=50) - laparotomy. Results: the Average duration of surgery in both groups were not significantly different. The level of postoperative pain in patients of the main group was significantly lower than the comparison group. Light postoperative complications observed were given in 17 cases of the main group (36.2%) and in 24 patients in the control group (48.0 per cent). In 1 patient of the main group diagnosed subhepatic abscess, developed shenny by drainage under ULTRASOUND control. 3 patients of the control group, postoperative wound suppuration. In each of the groups, there was 1 case of insolvency of choledochojejunoanastomosis. Conclusions: Laparoscopic access has no effect on the duration of operation of the radio and can significantly reduce the intensity of postoperative pain. Often, the early postoperative complications after laparoscopic choledocholithotomy-MII does not exceed the frequency of complications after choledocholithotomy performed laparoscopy-volume access.

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Full text is published :
Tarasenko S. V., Zaitsev O. V., Tyulenev D. O., Kopejkin A. A., Rakhmaev T. S., Bogomolov A. Yu. COMPARATIVE ANALYSIS OF IMMEDIATE RESULTS OF LAPAROSCOPIC AND LAPAROTOMIC OF CHOLEDOCHOLITHOTOMY. Experimental and Clinical Gastroenterology Journal. 2018;152(04):60-65
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1. North-Western state medical University named after I. I. Mechnikov (St. Petersburg, Russian Federation)
2. Saint-Petersburg I. I. Dzhanelidze research institute of emergency medicine (St. Petersburg, Russian Federation)

Abstract:The article describes the range of possibilities of endobiliary interventions in the treatment of obstructive jaundice and main conditions for the successful operation on the large duodenal papilla with paraphateral diverticula. Key words: large duodenal papilla, paraphateral diverticulum, obstructive jaundice, endoscopic interventions.

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Full text is published :
Kuzmin-Krutetsky M.I., Safoev M.I., Demko A.E., Ulyanov Yu.N., Levina A.S. TECHNICAL ASPECTS OF DIAGNOSTICS AND MANAGEMENT OF CHOLELITHIASIS WITH ADVERSE EVENTS IN PATIENTS WITH PARAVATERIAN DIVERTICULA. Experimental and Clinical Gastroenterology Journal. 2018;152(04):66-70
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