[Residual choledocholithiasis: modern realities]

Klin Khir. 2011 Feb:(2):13-7.
[Article in Russian]

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.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholecystectomy / adverse effects*
  • Choledocholithiasis* / diagnosis
  • Choledocholithiasis* / etiology
  • Choledocholithiasis* / surgery
  • Choledochostomy
  • Drainage
  • Humans
  • Middle Aged
  • Reoperation
  • Sphincterotomy, Endoscopic
  • Treatment Outcome