[Choice of cholecystolithiasis treatment].
Since January 1996 to December 1998 in the surgical department of Central Clinical Hospital (CCH) 594 cholecystectomies were performed. Laparoscopic cholecystectomies were made in 516 (86.8%) patients. Intraoperative complications occurred in 8 patients, without lethal outcomes. In the gastroenterological department of CCH 146 patients had cholelithic therapy with mechanical lithotripsy. It was possible to completely eliminate fragments of stones in 45 patients. The rest (101 patients) have undergone cholecystectomy. Cholelithic therapy with mechanical lithotripsy is indicated only in young patients it they reject cholecystectomy.
Mironov
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AS
D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000628:therapy*; D003657:Decision Making; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography