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SURGICAL MANAGEMENT OF CHOLEDOCHOLITHIASIS

[Surgery]
Valeriy Totikov; Aleksandr Shulutko; David Vladimirovich Toboev; Zaurbek Totikov; Alexander Givievich Natroshvili; Iliya Natroshvili; Enver Baychorov; Andrey Yurievich Moiseev;

To evaluate the results of single and two-stage management of choledocholithiasis we performed retrospective analysis of 1076 patients undergone surgery in hospitals of Vladikavkaz, Moscow and Kislovodsk in 1997–2014. Successful debridement of the common bile duct was achieved in 98 % of patients, the total number of complications was 8.0 %, postoperative mortality was 0.28 %. Experienced surgeon can use single-stage algorithm safely and effectively. The present study did not reveal a statistically significant difference in the efficacy and safety of single- and two-stage management of cholecystocholedocholithiasis.

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Keywords: choledocholithiasis, gallstones, laparoscopic choledocholithotomy


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