The first successful experience of laparoscopic formation of choledochoduodenoanastomosis in choledocholithiasis and obstructive jaundice in the conditions of an interdistrict surgical center

Introduction. The development of laparoscopic methods for treating gallstone disease (GSD), especially such a form as choledocholithiasis, is a topical issue in modern surgery. Objective. Analyze the treatment provided with a brief review of the literature. Materials and methods. The data of instrumental and laboratory examinations are presented, as well as the results of surgical treatment of the patient for mechanical jaundice due to choledocholithiasis. In this case, a laparoscopic method of treatment was used, which consisted of cholecystectomy, choledochotomy with choledocholithoextraction and the formation of a side-to-side choledochoduodenoanastomosis. Results. As a result of successful surgical treatment, the patient was quickly discharged for outpatient treatment without complications in the immediate observation period. Discussion. Choledocholithiasis has a number of types of surgical treatment, while at the moment the «gold standard» is endoscopic papillosphincterotomy (EPST). Despite this, EPST has a number of limitations in application. Conclusions. In case of impossibility of performing endoscopic papillosphincterotomy, the option choice may be laparoscopic formation of choledochoduodenoanastomosis with all the advantages of this minimally invasive method. This type of surgical intervention can be performed, including the level of the interdistrict surgical center.