method for surgical treatment of cholelithiasis complicated with choledocholithiasis

摘要

A method for surgical treatment of cholelithiasis complicated with choledocholithiasis by entering the catheter with a balloon through the cystic duct to the major duodenal ampulla, dilatation and subsequent washing of stones. After entering of the Fogarty catheter through an incision in the gallbladder into the duodenum esophagoduodenoscopy is additionally performed, large duodenal papilla visualized, the catheter Fogarty balloon is located just at the level of the Oddi sphincter, the balloon catheter is inflated at the level of papillomas to 6- which requires 3-4 atm., and kept the exposure for 3-5 minutes, which represents the so-called "counter-technique." After that, the choledochal lavage is performed with warm 0.25% solution of novocaine, simultaneously parenterally spazmalitics are administered, such as 0.1% solution of atropine, then sandostatin is injected subcutaneously in a dose of 0.1 ml or octrestatin in a dose of 0.1 ml, choledoh is drained through the cystic duct stump according the Halstead-Pikovsky.