Details

Autor(en) / Beteiligte

• Staleva, K V
• Novikov, S V
• Yartsev, P A
• Teterin, Yu S
• Makarov, A V
• Baskhanov, Sh A
• Bairamov, R Sh
• Shavrina, N V

Titel

Minimally invasive interventions for complications associated with intra-abdominal calculi after laparoscopic cholecystectomy

Ist Teil von

• Hirurgija (Moskva), 2024 (5), p.14

Ort / Verlag

Russia (Federation)

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• To study the possibilities of minimally invasive methods for removing intra-abdominal calculi after laparoscopic cholecystectomy. There were 5 patients with abdominal abscesses associated with infected calculi after previous laparoscopic cholecystectomy at the Sklifosovsky Research Institute for Emergency Care between 2020 and 2023. Mean age of patients was 55±12 years. There were 3 (60%) women and 2 (40%) men. All patients underwent minimally invasive treatment. Four patients (80%) underwent percutaneous drainage of abscess with subsequent replacement by larger drains and removal of calculi with endoscopic assistance. Event-free period after cholecystectomy was 44±32 months. One patient developed subhepatic abscess in 72 months after laparoscopic cholecystectomy. This patient underwent transluminal removal of calculus through the duodenal wall. There was 1 calculus in 3 (60%) patients, 2 calculi in 1 (20%) patient and 3 calculi in 1 (20%) patient. The above-mentioned cases demonstrate successful minimally invasive interventions for symptomatic abdominal calculi after laparoscopic cholecystectomy. Minimally invasive treatment can reduce surgical aggression and accelerate rehabilitation.