Assessment of the patients’ condition with cholelithiasis complicated by choledocholithiasis (literature review)

This research demonstrates the results of literature review in relation to assessment of the patient’s condition with cholelithiasis complicated by choledocholithiasis. The classic analysis method of local and international literature was used in scientific resources such as eLIBRARY, PubMed, Scopus and CyberLeninka, using the continuous sampling method. The publications were selected by the following keywords: cholelithiasis, choledocholithiasis, hybrid operations, mechanical jaundice, endoscopic papillosphincterotomy, laparoscopic cholecystectomy, ERCP. The problems of the severity of mechanical jaundice, strictly biliary pancreatitis, systemic inflammatory response syndrome and comorbidities admitted with cholecystocholedocholithiasis and its complications were identified and studied. Early assessment of the severity of patient’s condition with cholelithiasis and identification of high-risk patients are extremely important for early intensive care and surgical management in time which significantly improve the outcomes. The use of prognostic criteria of BISAP, Galperin, SIRS, Charlson to assess the tolerability of one-stage laparoendoscopic surgery of cholecystocholedocholithiasis can be the key to successful surgical procedures. New studies using statistical analysis are required to develop a unified system for predicting the safety of one-stage simultaneous surgical operation.

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