Analysis of the effectiveness of combined treatment approaches for patients with cholecystocholedocholithiasis

Most common one-stage surgical methods for the treatment of cholecystocholedocholithiasis include laparoscopic cholecystectomy with endoscopic retrograde cholangiopancreatography, endoscopic papillosphincterotomy and lithoextraction or with laparoscopic common bile duct exploration. From September 2013 to October 2023, at our center, 481 patients were treated for cholecystocholedocholithiasis and its complications, of which 114 patients received one-stage combined treatment. The primary group consisted of 26 patients who had laparoscopic chole-cystectomy combined with laparoscopic common bile duct exploration, while 88 patients underwent laparoscopic cholecystectomy with endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and lithoextraction, with 57 of these forming the control group. The follow-up period extended up to five years, including telephonic consultations. The groups were analyzed for stone extraction effectiveness, duration of surgery, postoperative hospital stay, total hospital stay, and rates of somatic and surgical complications. Patients receiving laparoscopic cholecystectomy paired with laparoscopic choledocholithotomy experienced a significantly shorter hospital stay (p = 0,044), with no notable differences in postoperative complications observed. Both combined surgical approaches proved to be effective and safe in treating cholecystocholedocholithiasis.

Hali tarjima qilinmagan