Treatment of pregnant patients with calcular cholecystitis, choledocholithiasis, and obstructive jaundice

The article is devoted to the treatment of patients with various manifestations of cholelithiasis during pregnancy to clarify tactical approaches to the treatment of pregnant women with choledocholithiasis. The patients were treated simultaneously by a surgeon and an obstetrician-gynecologist. The article discusses the treatment of 22 patients with cholelithiasis - 20 with acute calculous cholecystitis and 2 with choledocholithiasis. 5 patients from 20 (25%) were operated on for stool cholecystitis. The rest received conservative treatment One patient with choledocholithiasis was treated conservatively, and the second patient underwent transpapillary intervention. There were no fetal complications in any of the 22 patients. It is concluded, that reasonable minimalism should be adhered to in the treatment of pregnant women admitted urgently to the hospital with various manifestations of cholelithiasis, as well as the safety and necessity of using endoscopic methods for the diagnosis and treatment of choledocholithiasis in pregnant patients.