Xolesisto-xoledoxolitiazın müalicəsində müasir istiqamətlər

Abstract

Secondary CBD stones are identified in 12-15% of cases of gallbladder stones. Treatment approach in such cases is cholecystectomy and extraction of stones from the CBD. Historically four treatment periods are distinguished. In 70-80-ies laparotomy and cholecystectomy + choledocholithotomy was performed. Since the 90's of last century endoscopic sphincterotomy with open cholecystectomy was performed. In the past 20 years diagnosis of choledocholithiasis were performed by MRCP, treatment consist of ERCP and laparoscopic cholecystectomy. In recent years one-step approach is being employed: laparoscopic cholecystectomy and CBD exploration or laparoscopic cholecystectomy and intraoperative endoscopic choledocholithotomy. In comparison with the classical two¬-stage approach one-stage one decreases length of hospital stay, treatment costs and complications.

Full text



. �o
 -0  



 
           
        
             
 +             
             
           
         +  
  +        
       
     
 
  
  
         
          
          
           
        
 
      
 
      
 
  
 


       



          
   
             
           
           
              

 

146
https://orcid.org/0000-0001-6958-5412
İstinad etmək üçün lütfən, qoşmadakı və ya saytdakı ......bib faylını endirin
For reference, please download the ......bib file in the attachment or website