uzspbgmuУчёные записки Первого Санкт-Петербургского государственного медицинского университета имени академика И. П. ПавловаThe Scientific Notes of the Pavlov University1607-41812541-8807Academician I.P. Pavlov First St. Petersburg State Medical University10.24884/1607-4181-2022-29-2-24-31uzspbgmu-888Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESОстрый билиарный панкреатит: эволюция хирургической тактики (обзор литературы)Acute biliary pancreatitis: the evolution of surgical tactics (review of literature)https://orcid.org/0000-0002-2743-7128НикитинаТ. О.NikitinaT. O.

Никитина Татьяна Олеговна, врач-хирург хирургического отделения № 4 (неотложной хирургии) 

Санкт-Петербург

 

Nikitina Tatiana O., Surgeon of Surgical Department № 4 (Emergency Surgery) 

Saint Petersburg

dr.nikitina11@yandex.ruПоповД. Н.PopovD. N.

Попов Дмитрий Николаевич, врач-хирург хирургического отделения № 4 (неотложной хирургии) 

Санкт-Петербург

 

Popov Dmitrii N., Surgeon of Surgical Department № 4 (Emergency Surgery) 

Saint Petersburg

https://orcid.org/0000-0001-7449-6908КорольковА. Ю.KorolkovA. U.

Корольков Андрей Юрьевич, доктор медицинских наук, руководитель отдела общей и неотложной хирургии, НИИ хирургии и неотложной медицины

Санкт-Петербург

Korolkov Andrey U., Dr. of Sci. (Med.), Head of the Department of General and Emergency Surgery, Research Institute of Surgery and Emergency Medicine 

Saint Petersburg

https://orcid.org/0000-0002-6380-137XБагненкоС. Ф.BagnenkoS. F.

Багненко Сергей Фёдорович, доктор медицинских наук, профессор, академик РАН, ректор 

Санкт-Петербург

Bagnenko Sergey F., Dr. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Rector

Saint Petersburg

 

Первый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаРоссияPavlov UniversityRussian Federation2022190520222922431Copyright © Никитина Т.О., Попов Д.Н., Корольков А.Ю., Багненко С.Ф., 20222022Никитина Т.О., Попов Д.Н., Корольков А.Ю., Багненко С.Ф.Nikitina T.O., Popov D.N., Korolkov A.U., Bagnenko S.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sci-notes.ru/jour/article/view/888

Хирургическое лечение острого билиарного панкреатита (ОБП) на протяжении последних десятилетий совершенствовалось от выполнения травматичных открытых оперативных вмешательств до применения малоинвазивных технологий. Однако, несмотря на прогресс в лечении данной патологии, остается не решенным вопрос о сроках выполнения холецистэктомии после проведенной эндоскопической папиллосфинктеротомии (ЭПСТ) с литоэкстракцией. В ряде случаев после ЭПСТ возникает рецидив заболевания, а также различные другие билиарные осложнения, такие как острый калькулезный холецистит, холедохолитиаз, холангит, связанные с тем, что остается не устранен основной этиологический фактор – желчнокаменная болезнь, а именно – не выполнена холецистэктомия.

Цель исследования – проанализировать эволюцию хирургической тактики в лечении ОБП при сочетанном холецистохоледохолитиазе.

Surgical treatment of acute biliary pancreatitis over the past decades have been improved from realization of open traumatic surgical interventions to the use of minimally invasive technologies. However, despite the progress in the treatment of this pathology, the question of the timing of cholecystectomy after endoscopic papillosphincterotomy with lithoextraction remains unresolved. In some cases, after the endoscopic papillosphincterotomy, a recurrence of the disease occurs, as well as other various biliary complications, such as: acute calculous cholecystitis, choledocholithiasis, cholangitis, associated with the fact that the main etiological factor – the gallstone disease – has not been eliminated, specifically, cholecystectomy was not performed.

The objective of this study was to analyze the evolution of surgical tactics in the treatment of acute biliary pancreatitis with combined cholecystocholedocholithiasis.

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The authors declare that there are no conflicts of interest present.