Abstract
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.
Highlights
Received 26.12.2020; accepted 20.10.2021 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
Нами представлен случай успешного лечения «сложного» холедохолитиаза, осложненного холангитом и механической желтухой, у пациентки 96 лет со значимой коморбидностью
Summary
Received 26.12.2020; accepted 20.10.2021 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. A. Endoscopic laser lithotripsy as an option of treatment tactics of complicated choledocholithiasis in the patient aged 96 years. Эндоскопические ретроградные транспапиллярные операции при лечении холангиолитиаза и вызванного им холангита являются приоритетными за счет своей высокой эффективности и безопасности [4,5,6].
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