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This monograph addresses improving surgical outcomes for choledocholithiasis complicated by mechanical jaundice in acute calculous cholecystitis. The condition often leads to stone formation in the common bile duct, causing mechanical jaundice and complicating the clinical course. Effective intervention requires a comprehensive approach, optimizing preoperative preparation and enhancing surgical techniques. Modern diagnostic methods like endoscopic ultrasonography and magnetic resonance cholangiopancreatography help accurately localize stones and assess the biliary tract. The text examines preoperative drainage therapy, antibacterial prophylaxis, and strategies for managing concomitant disorders.It details new techniques in laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography (ERCP), along with advanced tools for precise stone removal. Additionally, the monograph highlights methods for monitoring and early detection of postoperative complications. Clinical trial results and practical recommendations are included to improve treatment effectiveness and enhance patients' quality of life.