title: [Residual choledocholithiasis: modern realities].
abstract: In 748 patients, ageing 28-80 yrs, residual calculi of common biliary duct were removed, using various methods. Transfistular removing of biliary calculi was the method of choice in presence of external drain and endoscopic papillosphincterotomy (EPST) - in its absence. Efficacy of the first variant have had constituted 95.2% and of the second--88%. In 9.5% patients the reoperations were performed--open or laparoscopic. Late results in majority of patients were studied in terms not less than 3 years. Good late results of transdrainage nonoperative elimination of calculi in the first 3 years have had constituted 90% and in the next 6-10 years--99%; while in EPST--accordingly, 85 and 88%. In spite of constantly widening possibilities of the residual choledocholithiasis elimination the main task for modern biliary surgery--the prophylaxis of this not rare complication of cholelithic disease--persist.
authors.forename: N A
authors.initials: NA
authors.lastname: Maĭstrenko
authors.forename: V V
authors.initials: VV
authors.lastname: Stukalov
authors.forename: F Kh
authors.initials: FKh
authors.lastname: Azimov
authors.forename: S B
authors.initials: SB
authors.lastname: Sheĭko
authors.forename: G G
authors.initials: GG
authors.lastname: Kazakevich
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy / Q000009:adverse effects*; D042883:Choledocholithiasis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D002768:Choledochostomy; D004322:Drainage; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D016717:Sphincterotomy, Endoscopic; D016896:Treatment Outcome