[Problem of biliourolithiasis-does it exist?]. / Sushchestvuiut li problema biliourolitiaza?

The analysis of 190 case records and 112 clinical cases of the patients with combination of biliary--and urolithiasis (biliourolithiasis-BUL) was carried out. Besides, for proving frequency of combined disease the differential analysis of 2300 case records of urolithiasis and biliary lithiasis separately was carried out as well. It was determined that this combination occurs in 10%. The purposeful, precise definition of complains, anamnesis of the illness, ultrasound and x-ray examination of biliary and urologic system are of paramount importance in timely diagnosis of such combined diseases. Diagnostic and tactic errors committed by surgeons as well as by urologists are often explained by insufficient knowledge of physicians about rather common combination of bilio- and urolithiasis. Among 112 patients 25 were admitted as urgent, the others--according to planned order--with various diagnoses, and their combined pathology was diagnosed at clinic only after purposeful precise examination. Urgent operations on biliary system were carried out in 21 patients. 84 patients underwent elective operations on biliary and urologic system, simultaneous operations of them being carried out in 31 patients. 7 patients due to their severe cardio-vascular disease underwent conservative treatment. Postoperative lethality made up 0.9%. From 190 patients (archives data) 162 have been operated on. Postoperative lethality made up 3.4%. Cost effect of simultaneous combined operations made up 1,168,000 roubles. It is advisable for patients with BUL diseases, taking into account function of the liver and kidney, their organs blood flow, to perform simultaneous of consecutive surgical interventions on biliary as well as on the urologic system which contribute to the well-timed social and professional rehabilitation of the patients.

[Evaluation of renal blood flow in patients with biliary and urinary calculi based on rheographic data]. / Otsenka pochechnogo krovotoka u bol'nykh biliourolitiazom po dannym reografii.

The work shows the state of the renal blood flow by the data of indirect rheonephrography in 50 healthy people and 80 patients with ++bili-urolithiasis (a combination of bilio- and urolithiasis). The method of examination is simple. Operative interventions both on the bile and urinary ducts should be performed with special reference to organic renal blood flow.

[The classification of a combination of cholelithiasis and urolithiasis]. / Klassifikatsiia sochetaniia zhelchnokammennoi i mochekamennoi bolezni.

In 105 patients, the combination of bili- and urolithiasis was revealed. With the aim of improvement of early diagnosis of biliurolithiasis, the three clinical groups of patients were distinguished. In 60% of patients, metabolic obesity was noted. The authors suggest to extend the indications for combined and consecutive operations in patients with biliurolithiasis.