A STUDY TO DESCRIBE SOME CURRENT PROBLEMS IN THE TREATMENT OF CHOLELITHIASIS

Cholelithiasis is everywhere more often easily and quickly diagnosed and treated successfully by laparoscopic cholecystectomy (LCHEC) for cholecystolithiasis (up to 90 - 98%), by laparoscopic choledocholithotomy (LCDLT), laparoscopic choledochoduodenoanastomosis and endoscopic papillosphincterotomy (EPST) for CHDLS and BS VP. If, for any reason, it is impossible to perform them then, in such cases, surgeons are forced to resort to open methods of these operations up to 5-15% of cases, especially in emergency surgery. However, their results (both open and endosurgical - endoscopic - laparoscopic variants of these operations) still do not satisfy some - experienced surgeons in this eld. Due to, still developing a number of postoperative complications, especially and mainly in the long-term period after surgery. Such as recurrent or residual CHDLS and BS VP - up to 10 - 25%, as well as "postcholecystectomy syndrome" (after LCHEC) up to 40% or more. The paper we present the results of the developed new methods of these operations used in 42 patients (PST-12, PSP - 9 and DID (PST + CHDA) - 21) operated on for cholelithiasis complicated by choledocholithiasis and stenosis of the FP. When performing these new surgeries, no serious technical difculties, errors, etc. were noted. All operated patients did not have any serious complications in the immediate postoperative period, as well as in the long-term period.

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