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Updated: Jul 13, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
03:56

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

[Surgical treatment of patients with complicated forms of cholelithiasis]

D A Abdulloev, K M Kurbonov, A O Isoev

    Vestnik Khirurgii Imeni I. I. Grekova
    |August 2, 2007
    PubMed

    Insights

    For complex gallbladder surgeries, surgeons encountered challenges like adhesions and infiltrates. Open laparotomy is recommended over videolaparoscopic procedures in these difficult cases.

    Area of Science:

    • Gastroenterology and Hepatobiliary Surgery
    • Surgical Pathology

    Context:

    • Analysis of 124 patients with surgically challenging gallbladder conditions.
    • Identified common factors complicating gallbladder procedures.

    Purpose:

    • To evaluate surgical outcomes for difficult gallbladder cases.
    • Determine optimal surgical approaches for complex gallbladder pathology.

    Summary:

    • Massive adhesions, hepato-duodenal ligament infiltrates, previous surgeries, echinococcosis with cirrhosis, cholecystodigestive fistulas, Mirizzi syndrome, and intrahepatic gallbladder were common impediments.
    • These factors rendered videolaparoscopic surgery highly challenging in 59.7% of cases.
    • Open laparotomy was deemed the preferred surgical method for these complex scenarios.

    Impact:

    • Highlights the limitations of minimally invasive techniques in specific complex gallbladder diseases.
    • Provides evidence-based guidance for surgical planning in challenging hepatobiliary cases.
    • Aims to improve patient safety and surgical outcomes by advocating for appropriate surgical approaches.

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