title: [Surgical policy in patients with chronic calculous cholecystitis complicated by choledocholithiasis].
abstract: Results of surgical treatment in 116 patients with chronic calculous cholecystitis complicated by choledocholithiasis were studied. Introduction in clinical practice of endoscopic papillosphincterotomy (EPST) and laparoscopic cholecystectomy changed surgical policy for benign combined lesions of gall bladder and extrahepatic bile ducts. Complex endoscopic treatment is preferable if contraindications are absent. Complex endoscopic treatment was used in 26.7% cases, combined surgical and endoscopic (trans-papillar surgeries) - in 30.2%, conventional surgical - in 33.6%. Isolated EPST and endo-biliary procedures were performed in 9.5% patients. Complex endoscopic treatment is preferable for chronic calculous cholecystitis complicated with choledocholithiasis. Combined and conventional surgical policy is indicated when appliance of endoscopic technologies is not possible.
authors.affiliation: Otdelenie khirurgii pecheni, zhelchnykh puteĭ i podzheludochnoĭ zhelezy Rossiĭskogo nauchnogo tsentra khirurgii RAMN, kafedra gospital'noĭ khirurgii No. 1 Moskovskoĭ meditsinskoĭ akademii im. I. M. Sechenova.
authors.forename: T A
authors.initials: TA
authors.lastname: Dzharkenov
authors.forename: A A
authors.initials: AA
authors.lastname: Movchun
authors.forename: M V
authors.initials: MV
authors.lastname: Khrustaleva
authors.forename: N P
authors.initials: NP
authors.lastname: Ratnikova
authors.forename: A G
authors.initials: AG
authors.lastname: Abdullaev
authors.forename: O G
authors.initials: OG
authors.lastname: Skipenko
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002114:Calcinosis / Q000150:complications* / Q000601:surgery*; D002763:Cholecystectomy / Q000379:methods*; D002764:Cholecystitis / Q000150:complications* / Q000601:surgery*; D042883:Choledocholithiasis / Q000150:complications*; D002908:Chronic Disease; D004724:Endoscopy / Q000379:methods; D005260:Female; D005705:Gallbladder Diseases / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged