LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH CHRONIC CALCULOUS CHOLECYSTITIS WHICH IS COMPLICATED BY GALLSTONE–INTESTINAL BILE FISTULA
Abstract
The analysis of 4 patients with chronic calculous cholecystitis in combination with gallstone-intestinal bile fistula treatment was carried out. 3 patients had gallstone-duodenal bile fistula, 1 patient had gallstone-transverse-colon bile fistula. The diagnostics of gallstone-intestinal bile fistula in patients with chronic calculous cholecystitis is difficult and required wide investigation using expensive invasive methods. Fistula was diagnostic in the time laparoscopic cholecystectomy. The current of operative intervention was changed. Technical methods were used for the fistula removal. Gallstone-intestinal bile fistula may be removed in the time laparoscopic cholecystectomy using minilaparotomy in right subcostal area for extraction of gallbladder and suture intestinal wall without considerable trauma increase due to operation.
Downloads
References
2. Нидерле Б. // Хирургия желчных путей. Авиценум. Прага. - 1982. - С. 187.
3. Ханурин С.Н., Гаттаров И.Х., Нурмухаметов А.А., и др. // Хирургия. - 2002. - № 4. - С. 57-60.
4. Шалимов А.А., Шалимов С.А., Нечитайло М.Е., и др. // Хирургия печени и желчевыводящих путей. - 1993. - С. 247-248.
The Journal of V. N. Karazin Kharkiv National University, series Medicine has following copyright terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work, with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.