Open AccessEndoscopic laser lithotripsy as an option of treatment tactics of complicated choledocholithiasis in the patient aged 96 years
Author(s) -
M.Yu. Kabanov,
Konstantin V. Sementsov,
Denis B Degterev,
Д. К. Савченков,
Taras E. Koshelev,
Alla A. Fokina
Publication year - 2021
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2021-180-4-86-90
Subject(s) - medicine , lithotripsy , obstructive jaundice , laser lithotripsy , jaundice , comorbidity , stage (stratigraphy) , surgery , general surgery , endoscopic treatment , endoscopy , paleontology , biology
We present the case of treatment of choledocholithiasis complicated with obstructive jaundice and acute grade II cholangitis according to Tokyo criteria in the female patient aged 96 years with significant comorbidity. Peroral digital cholangioscopy and laser contact lithotripsy were made. No complications were observed in postoperative period, and the manifestations of cholangitis and obstructive jaundice regressed. In our opinion, high efficacy and safety of the used method are the strong argument for the use in patients with difficult choledocholithiasis who have significant comorbidities during the single-stage endoscopic operation.