Abstract
The purpose of this study: to evaluate the results of surgical treatment of patients with cholelithiasis complicated by choledocholithiasis and obstructive jaundice by using laparoscopic technology. Methods. The results of surgical treatment of 140 patients operated on for cholelithiasis complicated by choledocholithiasis and obstructive jaundice were analyzed in the clinic of hospital surgery of West Kazakhstan Medical University named after Marat Ospanov for the period from 2016 to 2021. Results. The use of laparoscopic and endoscopic interventions in the surgical treatment of cholelithiasis complicated by choledocholithiasis and mechanical jaundice can reduce the number of postoperative complications from 42.5% to 19%, that is, almost 2.2 times. One-stage laparoscopic interventions, including cholecystectomy and removal of stones from the common bile duct, can be performed in 95.6% of cases. With cholecystocholedocholithiasis using the laparoscopic method, in 17.8% of cases it is possible to carry out lithoextraction through the cystic duct. Conclusions. Simultaneous laparoscopic methods of treatment of cholelithiasis with choledocholithiasis and obstructive jaundice are less traumatic and more physiological, allowing to save the sphincter apparatus of the major duodenal papilla, thus being a highly effective method in the treatment of patients with cholecystocholedochitis.