The role of fibrocholangioscopy in cholelithiasis

Cholelithiasis is a very common disease throughout the world, but there are still some shortcomings in its treatment. Even after the treatment of "uncomplicated calculous cholecystitis" by the internationally recognized laparoscopic cholecystectomy (LCHEC), complications such as "postcholecystectomy syndrome" after surgery are up to 20 - 40%, and the number of reoperations sometimes reaches 15 - 20%, especially in former Soviet republics (authors .... and others).
The article shows the role of fibrocholangioscopy aimed at reducing these complications. At the same time, after choledocholithotomy, it almost completely excludes residual stones and clarifies the diagnosis of BS VP.
In addition, with choledocholithiasis, cholangitis is almost always found, more often catarrhal (up to 46%), purulent (in 24% of patients) and often ulcerative-necrotic forms of cholangitis (22%), sometimes reticular cholesterosis (8%), as well as tumors hepatic ducts and polyps of BS duodenum.
Therefore, as a result of fibrocholangoscopy, the accuracy of diagnosing choledocholithiasis, BS VP, cholangitis, etc., reaches 95-99%. which helps to reduce the number of complications, such as recurrent and especially residual choledocholithiasis, BS VP and cholangitis, etc.