Retrospective analysis of experience of treatment of complex choledocholithiasis

Abstract

Objective. Estimation of the clinical results application, concerning various methods of the complex choledocholithiasis treatment. Materials and methods. The investigation was conducted on the base of Odessa Regional Clinical Hospital during 2018 - 2021 yrs. Retrospective analysis of clinical results in treatment of 69 patients with complex choledocholithiasis was accomplished. Results. The tactics of treatment choice in complex choledocholithiasis must be maximally individualized and depend on a patient state and presence of concurrent diseases. In severe state of a patient the treatment must be started with transhepatic drainage of biliary ducts. It permits to eliminate the cholangitis signs, to improve a patient state and to prepare him to more complex operative interventions. Conclusion. In complex choledocholithiasis it is expedient to perform a two-staged interventions with preliminary drainage of biliary ducts for the cholemia level lowering. Tactics of treatment of complex choledocholithiasis must be selected, taking into account the patient state and age, presence of concomitant pathology and the clinic-anatomic peculiarities of the disease course (dimensions of calculi, stenosis, diverticulas of common biliary duct, etc). The extended endoscopic interventions constitute the most secure option.