TY - JOUR

T1 - Эффективность контактной лазерной литотрипсии и эндоскопической ретроградной холангиопанкреатоскопии в лечении сложного холедохолитиаза

AU - Трусов, Иван Александрович

AU - Ветошкин, Вячеслав Андреевич

AU - Гладышев, Дмитрий Владимирович

AU - Щербак, Сергей Григорьевич

AU - Врублевский, Николай Михайлович

AU - Парамонова, Ирина Игоревна

AU - Федоров, Е.Д.

AU - Шаповальянц, С.Г.

AU - Будзинский, С.А.

AU - Прядко, А.С.

AU - Демко, А.Е.

PY - 2026

Y1 - 2026

N2 - Background: complex choledocholithiasis remains a significant clinical issue; despite technological development, a single management approach has not been created. Endoscopic retrograde cholangiopancreatography (ERCP) with contact laser lithotripsy is considered as one of the least traumatic techniques. Aim: to evaluate short-term outcomes of ERCP with contact laser lithotripsy in treatment of complex choledocholithiasis. Materials and Methods: a multicenter, non-randomized, retrospective cohort study was conducted in 204 patients (July 2018 — January 2025). Two groups consisted of patients receving ERCP with contact laser lithotripsy (n=110) and choledocholithotomy with Kehr T-tube drainage (n=94) using conventional surgical access (mini-access, laparotomy, laparoscopy) were formed. The authors assessed complications in the immediate postoperative period (≤5 days), number of re-interventions and readmissions, duration of the surgery, number of total bed days, and ICU bed days. Results: median duration of hospital stay was 8 [5; 10] days in the endoscopic group and 15 [10; 23] days in the surgical one (p

AB - Background: complex choledocholithiasis remains a significant clinical issue; despite technological development, a single management approach has not been created. Endoscopic retrograde cholangiopancreatography (ERCP) with contact laser lithotripsy is considered as one of the least traumatic techniques. Aim: to evaluate short-term outcomes of ERCP with contact laser lithotripsy in treatment of complex choledocholithiasis. Materials and Methods: a multicenter, non-randomized, retrospective cohort study was conducted in 204 patients (July 2018 — January 2025). Two groups consisted of patients receving ERCP with contact laser lithotripsy (n=110) and choledocholithotomy with Kehr T-tube drainage (n=94) using conventional surgical access (mini-access, laparotomy, laparoscopy) were formed. The authors assessed complications in the immediate postoperative period (≤5 days), number of re-interventions and readmissions, duration of the surgery, number of total bed days, and ICU bed days. Results: median duration of hospital stay was 8 [5; 10] days in the endoscopic group and 15 [10; 23] days in the surgical one (p

KW - complex choledocholithiasis

KW - complications

KW - contact laser lithotripsy

KW - endoscopic retrograde cholangiopancreatography

KW - hospital days

KW - intensive care unit

KW - mortality

KW - retrospective cohort study

UR - https://www.rmj.ru/articles/khirurgiya/Effektivnosty_kontaktnoy_lazernoy_litotripsii_i_endoskopicheskoy_retrogradnoy_holangiopankreatoskopii_v_lechenii_sloghnogo_holedoholitiaza/

UR - https://www.mendeley.com/catalogue/0ebf9820-7123-3391-9985-e4082885f02e/

U2 - 10.32364/2587-6821-2026-10-4-2

DO - 10.32364/2587-6821-2026-10-4-2

M3 - статья

VL - 10

SP - 184

EP - 189

JO - Русский медицинский журнал

JF - Русский медицинский журнал

SN - 2225-2282

IS - 4

ER -