Algorithm of endovideoscopic treatment cholelithiasis complicated by choledocholithiasis

Introduction: We can’t cure choledocholithiasis endoscopically often and we have problem with choice of treatment - laparoscopic or laparotomic choledo-chotomy. Goal is development a treatment algorithm and analysis of treatment patients with choledocholithiasis.Materials and methods: patients with choledocholithiasis and/or with stenotic duodenal papillitis (weren’t treatment endoscopic) were separated into two statistically homogeneous groups. Main group (n=47) - patients operated laparoscopically and control group (n=50) patients operated laparatomicically. Results: In main group was done suproduodenal choledochotomy and sanitation of choledochus. In 29 cases was done choledochoscopy with lithoextrac- tion by instruments. For 7 patients was done antegrade papillosphincterotomy. After rebuildability hepatitis was done choledochography with drainage by Holsted-Pikovsky or was done choledochoduodenostomy.In main group operation was continued about 101,26±19,81 min, In control group about 96,8±14,25 min...