Clermont operation as a preventive method of post-cholecystectomy complications

Objective: to contribute to better surgical intervention outcomes in patients with cholelithiasis. Material and Methods. 41 patients were investigated prior to elective cholecystectomy The group of the study has formed the patients with raised level of the total bile acids and verified X-rays duodenal dyskinesia in subcompensation. These patients underwent laparoscopic cholecystectomy supplemented with mobilization of duodenojejunal junction without dissection of Treitz ligament (Clermont operation). Other patients underwent standard laparoscopic cholecystectomy. Life quality evaluation was performed 30 days after the surgical intervention using the unified GSRS questionnaire followed by statistical treatment. Results. Laparoscopic cholecystectomy performed simultaneously with Clermont procedure is executed in 29,3% cases (12 patients) with duodenal dyskinesia according to the classification of Ya. D. Vitebsky Life quality in group of the study was well above, than in groups of the comparison. The bile acids in group of the study were far less, than in comparison groups. Conclusion. Laparoscopic cholecystectomy performed simultaneously with Clermont operation is considered to be minimally invasive and rather effective in prevention of post-cholecystectomy complications.