Биология ва тиббиёт муаммолари 2026, №2 (168)


Maqola mavzusi

RESULTS OF TREATMENT OF PATIENTS WITH CHOLECYSTOCHOLEDOCHOLITHIASIS BY LAPAROENDOSCOPIC METHOD (20-26)

Mualliflar

Abdurakhmanov Eshonkul Movutovich, Babajanov Akhmadjon Sultanbaevich

Muassasa

Central Hospital of Samarkand City Medical Association, Republic of Uzbekistan, Samarkand

Annotatsiya

The study included 107 patients with acute cholecystitis and cholangitis associated with cholecystocholedocho-lithiasis. In patients with calculous cholecystitis and choledocholithiasis, hybrid surgeries using the proposed im-proved single-stage laparoscopic cholecystectomy with assisted endoscopic spinal tapping (EPS) using the Rendez-vous technique and choledocholithoextraction are advisable. The improved laparoscopic cholecystectomy tech-nique with assisted endoscopic spinal tapping (EPS) is effective in 87.9% of patients with an average risk of chole-docholithiasis, which is 18.9% higher than traditional endoscopic spinal tapping (EPS), p = 0.035, and is accom-panied by a 17.7% lower incidence of EPSS-associated complications, p = 0.017.

Kalit so'zlar

Gallstone disease, cholecystocholedocholithiasis, surgical treatment.

Adabiyotlar

1. Gerosa M., Guttadauro A., Stillittano D. F., Sas-sun R., Sileo A., Vignati B., Di Fratta E., Maggioni D., Mari G. Single-stage laparoscopic cholecystec-tomy with intraoperative ERCP for cholecystochole-docholithiasis: lessons learned from the COVID-19 pandemic // Frontiers in Surgery. — 2024. — Vol. 11. — Article 1398854. 2. Koiava L., Koiava O., Abuladze D., Musiyarira L., Gavasheli S., Abiatari I. Management of chole-cystocholedocholithiasis by laparoendoscopic ren-dezvous: a single-center experience // World Acade-my of Sciences Journal. — 2026. — Vol. 8. — Arti-cle 16. 3. Lv S., Wang B., Hu P., Shi B., Zhang W., Wang A. Efficacy analysis of hybrid operating room-based laparoscopic cholecystectomy combined with in-traoperative ERCP in the treatment of cholelithiasis with choledocholithiasis // Journal of Minimal Ac-cess Surgery. — 2023. — Vol. 19, № 3. — P. 360–366. 4. Sayed M. M., Abdelmohsen A. S., Ibrahim M., Raafat M. Single-stage laparoendoscopic manage-ment of cholecystocholedocholithiasis: a retrospec-tive study comparing ERCP first versus laparoscopic cholecystectomy first // Annals of Hepato-Biliary-Pancreatic Surgery. — 2025. — Vol. 29, № 1. — P. 55–61. 5. Tai J. X., Zhang Q. Safety and efficacy compari-son of single-stage and two-stage ERCP combined with laparoscopic cholecystectomy: a systematic re-view and meta-analysis // Frontiers in Medicine. — 2025. — Vol. 12. — Article 1713857.