[Laparoscopic choledocholithotomy. Indications and methods of completion].

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Minimally Invasive Surgical Techniques

Context:

• Complicated cholelithic disease (CHLD) presents significant diagnostic and therapeutic challenges.
• Laparoscopic choledocholithotomy is a key procedure for managing choledocholithiasis.
• Existing diagnostic and treatment algorithms require optimization for complex cases.

Purpose:

• To summarize modern diagnostic and medical algorithms for CHLD utilizing mini-invasive technologies.
• To present indications and methods for laparoscopic choledocholithotomy in 71 patients.
• To introduce original and conventional diagnostic methods for CHLD.

Summary:

• A comprehensive review of diagnostic and treatment strategies for complicated gallstone disease was conducted.
• The study details the indications and techniques for laparoscopic choledocholithotomy in 71 patients.
• Original and established diagnostic methods were integrated into a novel diagnostic-medical complex.

Impact:

• The introduction of the proposed diagnostic-medical complex led to improved outcomes in both planned and urgent operations for CHLD.
• Enhanced diagnostic accuracy and tailored treatment strategies contribute to better patient results.
• This approach offers a pathway to optimize surgical management of complicated gallstone disease.