Modern approaches to the treatment of patients with a complicated form of gallstone disease in Botkin hospital
https://doi.org/10.17238/2072-3180-2021-4-9-14
Abstract
Introduction. Aim of study. Nowadays, the most modern method of treatment of gallstone disease complicated by choledocholithiasis is a two-step, simultaneous, "rendezvous" intervention. Despite the advantages of "rendezvous", this technique requires a high skill in laparoscopy and endoscopy. Considering the aforementioned, we have developed a method of combined one-stage treatment of gallstone disease complicated by choledocholithiasis.
Methods. A combined one-stage intervention for the treatment of gallstone disease complicated by choledocholithiasis was performed in Botkin Hospital. A total of 7 patients were operated on.
Results. The average duration of the endoscopic stage was 34+2, 1 minutes (from 20 to 65 minutes). The laparoscopic stage took 55+5, 7 minutes (30 to 70 minutes). The total operation time averaged 80 + 9, 4 minutes (from 60 to 110 minutes).
Conclusion. The combined one-stage method of treating gallstone disease complicated by choledocholithiasis shows an advantage over the two-stage approach. However, its use is limited and dictates the need for a selective approach in choosing patients.
About the Authors
A. V. Shabunin
Botkin Hospital;
Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Doct.of Med. Sci., Chief Professor of Surgery Department; Clinic Chief
Russian Federation, 125284, Moscow, 2nd Botkin passage, 5
M. M. Tavobilov
Botkin Hospital;
Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Doct.of Med. Sci., Associate Professor Surgery Department; Head of the Department of Liver and Pancreas Surgery
Russian Federation, 125284, Moscow, 2nd Botkin passage, 5
A. A. Karpov
Botkin Hospital
Russian Federation
Russian Federation
Cand.of Med. Sci., HPB surgeon, HPB Department
Russian Federation, 125284, Moscow, 2nd Botkin passage, 5
D. S. Ozerova
Botkin Hospital;
Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
surgeon emergency department №75, graduate student of Surgery Department
Russian Federation, 125284, Moscow, 2nd Botkin passage, 5
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Review
For citations:
Shabunin A.V., Tavobilov M.M., Karpov A.A., Ozerova D.S. Modern approaches to the treatment of patients with a complicated form of gallstone disease in Botkin hospital. Moscow Surgical Journal. 2021;(4):9-14. (In Russ.) https://doi.org/10.17238/2072-3180-2021-4-9-14
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