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

Staleva KV, Novikov SV, Yartsev PA, et al. . Minimally invasive interventions for complications associated with intra-abdominal calculi after laparoscopic cholecystectomy. Pirogov Russian Journal of Surgery. 2024;(5):14‑20. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202405114

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To study the possibilities of minimally invasive methods for removing intra-abdominal calculi after laparoscopic cholecystectomy.

MATERIAL AND METHODS

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.

RESULTS

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.

CONCLUSION

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.

Keywords:

laparoscopic cholecystectomy

diagnosis

ultrasound

EUS

complications

Authors:

Staleva K.V.

Sklifosovsky Research Institute for Emergency Care

ORCID: 0009-0009-6014-2522

Novikov S.V.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 8017-7129
Scopus AuthorID: 57197149430
ResearcherID: O-1548-2017
ORCID: 0000-0003-2692-1185

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 4044-9661
Scopus AuthorID: 55970485700
ResearcherID: P-9151-2017
ORCID: 0000-0003-1270-5414

Teterin Yu.S.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 8888-5490
Scopus AuthorID: 57194386231
ORCID: 0000-0003-2222-3152

Makarov A.V.

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-7388-7077

Baskhanov Sh.A.

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-3426-6344

Bairamov R.Sh.

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-1194-0412

Shavrina N.V.

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0002-3766-4674

Received:

13.02.2024

Accepted:

10.03.2024

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