Биология ва тиббиёт муаммолари 2024 №6 (157)
Тема статьи
COMBINED METHODS FOR THE TREATMENT OF CHOLANGITIS: EFFICACY AND SAFETY OF HYBRID INTERVENTIONS (18-20)
Авторы
Abdurakhmanov Eshonkul Movutovich, Babajanov Akhmadjon Sultanbaevich
Учреждение
1 - Samarkand State Medical University, Republic of Uzbekistan, Samarkand 2 - Central Hospital of Samarkand City Medical Association, Republic of Uzbekistan, Samarkand
Аннотация
The study group consisted of 55 patients who underwent hybrid surgical intervention - laparoscopic cholecystectomy and assisted endoscopic papillosphincterotomy by the Rendezvous technique with choledocholithoextraction (LERV group). In patients with calculous cholecystitis and choledocholithiasis it is expedient to perform hybrid operations using the proposed improved one-stage LCE with assisted EPST by Rendezvous technique and choledocholithoextraction. The proposed technique, devices and the scheme of the operating team arrangement are applicable in patients with acute and chronic cholecystitis and average risk of choledocholithiasis, after confirmation of the presence of concrements in the choledochus by the data of intraoperative cholangiography performed through the vesicular duct.
Ключевые слова
Biliary stone disease, cholecystocholedocholithiasis, hybrid operation.
Литературы
1. Yang, J., Wang, J., & Liu, Y. - "Hybrid Surgical Ap-proaches in the Management of Choledocholithiasis: Clinical Experience and Outcomes". Journal of Hepato-Biliary-Pancreatic Sciences, 2022. DOI: 10.1007/s00534-021-02159-x 2. Ahmed, S., Khan, M., & Farhan, M. - "Comparative Analysis of Hybrid and Conventional Surgery for Choledocholithiasis". BMC Surgery, 2021. DOI: 10.1186/s12893-021-01111-6 3. Tan, Y., Zhang, L., & Zhang, X. - "Hybrid Surgical Techniques for Choledocholithiasis: A Review of Effec-tiveness and Safety". Journal of Surgical Technique and Case Report, 2020. DOI: 10.4103/JST.CR_73_19 4. Freeman, R., Wright, C., & Cohen, J. - "Outcomes of Hybrid Surgical Approaches for Choledocholithiasis: A Systematic Review and Meta-Analysis". International Journal of Surgery, 2022. DOI: 10.1016/j.ijsu.2022.01.007 5. Singh, H., Gupta, N., & Patel, V. - "Hybrid Surgical Methods for Complex Choledocholithiasis: Outcomes and Techniques". American Journal of Clinical Oncology, 2021. DOI: 10.1097/COC.0000000000000739 6. Moore, H., Simon, R., & Davis, J. - "Clinical Outcomes of Hybrid Surgical Treatment for Choledocholithiasis: A Comprehensive Review". Surgical Clinics of North Amer-ica, 2020. DOI: 10.1016/j.suc.2019.09.004