Increasing the frequency of gallstone disease with choledocholithiasis and stricture distal choledoch a growing number of surgical interventions, including the use of new technologies. At the present level of development surgery, there are two basic ways endosurgical the treatment of this disease two-stage, comprising endoscopic papillo sphincterotomy before or after laparoscopic cholecystectomy and laparoscopic stage in volume cholecystectomy in combination with interference on a common gall duct.

This article discusses hepatoprotective medicinal agents used in the treatment of liver diseases, with particular emphasis on drugs possessing lithoprotective properties. The mechanisms of action, indications for use, and clinical significance of hepatoprotectors are analyzed. Special attention is paid to the role of lithoprotective agents in preventing the formation of cholesterol gallstones within the biliary system and in protecting hepatocytes. The article is intended for medical students and practicing physicians.

Артриты и артрозы наблюдаются сегодня практически у всех людей старше 60 лет. Развитие заболевания развивается вследствие ряда внутренних и внешних факторов. Нарастание воспалительного процесса в организме вследствие заболеваний желчного пузыря, желчнокаменной болезни (желчнокаменная болезнь) и хронический холецистит вызывают дегенеративные изменения в суставах.

The article highlights the problems of diagnostics and treatment of gallstone disease (GCD) in persons of different age groups. The data of morbidity statistics for different countries and regions are given. Modern methods of choledocholithiasis treatment, which are currently applied in our country in surgical clinics, are considered. When studying the methods of treatment of LCB and choledocholithiasis, as well as complications arising from these pathologies, it can be concluded that the ideal method of treatment of the pathology in question has not yet been found. To date, for the majority of physicians, the main method of treatment of GIC remains surgical removal of stones.

Laparoscopic cholecystectomy is a minimally invasive surgical procedure for removal of a diseased gallbladder. This technique essentially has replaced the open technique for routine cholecystectomies since the early 1990s[1]. At this time, laparoscopic cholecystectomy is indicated for the treatment of cholecystitis (acute/chronic), symptomatic cholelithiasis, biliary dyskinesia, acalculous cholecystitis, gallstone pancreatitis, and gallbladder masses/polyps[2]. These indications are the same for an open cholecystectomy. Cases of gallbladder cancers are usually best treated with open cholecystectomy.