Modern approaches to the treatment of patients with a complicated form of gallstone disease in Botkin hospital

Introduction. Aim of study. Nowadays, the most modern method of treatment of gallstone disease complicated by choledocholithiasis is a two-step, simultaneous, "rendezvous" intervention. Despite the advantages of "rendezvous", this technique requires a high skill in laparoscopy and endoscopy. Considering the aforementioned, we have developed a method of combined one-stage treatment of gallstone disease complicated by choledocholithiasis.Methods. A combined one-stage intervention for the treatment of gallstone disease complicated by choledocholithiasis was performed in Botkin Hospital. A total of 7 patients were operated on.Results. The average duration of the endoscopic stage was 34+2, 1 minutes (from 20 to 65 minutes). The laparoscopic stage took 55+5, 7 minutes (30 to 70 minutes). The total operation time averaged 80 + 9, 4 minutes (from 60 to 110 minutes).Conclusion. The combined one-stage method of treating gallstone disease complicated by choledocholithiasis shows an advantage over the two-stage approach. However, its use is limited and dictates the need for a selective approach in choosing patients.