Related Experiment Video
Updated: Jul 9, 2026

03:56
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
2.4K
[Implementation of the «safe cholecystectomy» program in the Leningrad Region]
A S Pryadko1,2, P N Romashchenko1, N A Maistrenko1
1Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia.
Khirurgiia
|November 2, 2023
Summary
This study introduces a new treatment program for gallstones (cholelithiasis) to improve surgical care quality. Implementing this program reduces complications and mortality in regional healthcare settings.
Area of Science:
- Gastroenterology
- Surgical Care Quality
- Public Health
Context:
- Gallstones (cholelithiasis) management within a regional three-level healthcare system.
- Varied quality of surgical care impacting patient outcomes.
- Need for standardized treatment protocols.
Purpose:
- To develop and present a comprehensive treatment program for cholelithiasis.
- To align regional gallstone management with modern quality of care standards.
- To address challenges in a tiered surgical care system.
Summary:
- Analysis of cholelithiasis treatment outcomes across different healthcare levels.
- Evaluation of laparoscopic vs. open cholecystectomy, surgical complications, and mortality.
- Development of a programmatic approach for regional gallstone patient management.
Impact:
- Minimizes postoperative complications and mortality at secondary and tertiary care levels.
- Emphasizes prevention of bile duct injuries through strict surgical technique adherence.
- Reduces negative outcomes via a proposed diagnostic and treatment algorithm.

