ENDOVIDEOLAPAROSCOPIC TREATMENT OF CHOLECYSTOCHOLEDOCHOLITHIASIS

Resume. The study included 107 patients with acute cholecystitis and cholangitis associated with cholecystocholedocholithiasis. In patients with calculous cholecystitis and choledocholithiasis, hybrid procedures using the proposed improved single-stage laparoscopic cholecystectomy with assisted endoscopic cystectomy using the Rendezvous technique and choledocholithotomy are appropriate. The improved laparoscopic cholecystectomy technique with assisted endoscopic cystectomy is effective in 87.9% of patients with an average risk of choledocholithiasis, which is 18.9% higher than traditional endoscopic cystectomy (p = 0.035) and is associated with a 17.7% lower incidence of endoscopic cystectomy-associated complications (p = 0.017). Keywords: gallstone disease, cholecystocholedocholithiasis, surgical treatment

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