Problem issues in diagnostics and treatment of choledocholithiasis in the era of wide implementation of minimally invasive surgery
Year: 2024
Type: article
Study design: Observational Study
Abstract: Modern methods of treating choledocholithiasis (CDC) are varied and are mainly focused on minimally invasive endoscopic technologies. The variety of these methods indicates the absence of a “gold standard”, and each of them has its own advantages and disadvantages. In this regard, the search for new surgical solutions to this problem is still relevant. This study presents a retrospective analysis of the treatment of 168 patients with HDL (2019-2023), who underwent laparoscopic surgery (LO) in 26 patients (15.5%) and surgical interventions through a minilaparotomy approach (MLA) in 142 patients (84.5%), and the average age was 59.0 ± 2.6 years, the ratio of men to women was 1:2.8 (p <0.05). A diagnostic and treatment algorithm was developed for HDL in combination with cholecystolithiasis. Magnetic resonance cholangiopancreatography (MRI UCG) has been recorded to be highly sensitive in preoperative research methods - 89.2%, ultrasound (US) - 93.8%, intraoperative ultrasound (IOUS) - 99.4%. The result of the development, scientific substantiation and implementation of the presented algorithm was a reduction in the number of conversions for ALD to 2.8%, for LO - to 5.6%, and mortality - to 2.9%.
Institutions: Bashkir State Medical University, Kazan State Medical Academy
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4403619276