Opportunities for diagnosis and treatment in degenerative complications in biliary lithiasis

Abstract

Introduction 1-3% of patients with cholelithiasis develop GC. Difficulties in diagnosis and selection of the operation procedure, remain controversal issues. Purpose Analysis of experience treating patients with degenerative complications in gallstone disease. Material and methods The analysis of 14 cases of GC Conclusions clinically diagnosed and treated in 2010-2019. 9 patients had anamnesis of gallstones for more than 10 years. Women- 10 men- 4. The diagnosis included: clinical aspects, laboratory tests, USG, contrast CT, ERSP, MRI with cholangiography, laparoscopy. Results Increased efficacy in diagnosis had MRI with cholangiography and CT. Treatment methods: laparoscopic cholecystectomy with enlarged diathermocoagulation of the vesicular lodge(2), extended classical cholecystectomy with enlarged resection of the area of destruction and ablation of regional lymph nodes, Kerh drainage (2), classic cholecystectomy with external tumor drilling and Champeau drainage(1), cholecystectomy, tumor drilling and internal drainage (3), cholecisectomy, tumor resection, bihepaticojejunostomy a la Roux and ablation of lymph nodes (6) Morbidity (50%). Conclusions The volume of surgery in CVB correlates with the tumor stage. Radical surgery with enlarged tumor removal contributes to a higher survival rate. In advaexternal drilling and drainage interventions present the elective treatment optionnced stages, internal or.