Experience in the implementation of minilaparotomy cholecystectomy in acute cholecystitis access complicated about cystic infi ltrates


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Abstract

In this paper shows the results of treatment of 47 patients with a cloelithiasis, complicated by an acute cholecystitis and paravesical infi ltrate by using atypical ways of a cholecystectomy from minilaparotomy access. Criteria and indications for performance universally recognized cholecystectomy from minilaparotomy access, from a bottom and by Pribram are showed. Rational receptions of operating and tool maintenance of a hemostasis are detailed at minicholecystectomy in the conditions of dense paravesical infi ltrate. It is shown that frequency of conversion at the acute cholecystitis complicated by dense infi ltrate, at performance of atypical ways minicholecystectomy, makes 4,2 % that is statistically authentic more low, than at performance standard minicholecystectomy at which frequency of conversion reaches 15 %. Introduction of atypical ways of minicholecystectomy at destructive forms of the acute cholecystitis complicated by dense paravesical infi ltrate, reduces risk of damage of anatomic formations of a hepatoduodenal ligament, and number of intra and postoperative complications from 12,7 to 2,1 %.

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Белгородский государственный Национальный исследовательский университет

Author for correspondence.
Email: dvd-dim@yandex.ru
заведующий хи- рургическим отделением Валуйской центральной районной больницы Russian Federation

Белгородский государственный Национальный исследовательский университет

Email: dvd-dim@yandex.ru
д.м.н., врач- хирург городской клинической больницы №1 г. Белгорода Russian Federation

Белгородский государственный Национальный исследовательский университет

Email: dvd-dim@yandex.ru
– к.м.н., заведующий кафедрой хирургических болезней №1 Националь- ного исследовательского университета Белгород- ского государственного университета Russian Federation

Белгородский государственный Национальный исследовательский университет

Email: dvd-dim@yandex.ru
к.м.н., старший преподаватель кафедры хирургических болезней №1 Национального исследовательского универси- тета Белгородского государственного университета Russian Federation

References

  1. Vetshev P.S, Chilingaridi K.E., Ippolitov L.I., Shpa-
  2. chenko F.A. [minimum news technology in the surgical treatment of cholelithiasis.]Moskva 2003; 56.
  3. Gal'perin E.I., Dederer Iu.M.[ Nestandartnye situa-
  4. tsii pri operatsiiakh na pecheni i zhelchnykh putiakh. M: Me-
  5. ditsina ] 1987; 160.
  6. Gal'perin E.I., Kuzovlev N.F. [Iatrogennye povrezhde-
  7. niia zhelchnykh protokov pri kholetsistektomii. ] Khirur-
  8. giia 1998; 1: 5–7.
  9. Dadvani S.A., Vetshev P.S., Sheludko A.M.[ Zhelchnoka-
  10. mennaia bolezn'.] M: 2000; 176.
  11. Dobrovol'skii S.R., Nagai I.V., Ivanov M.P.[ Khole-
  12. tsistektomiia iz minidostupa pri lechenii bol'nykh s
  13. ostrym kal'kuleznym kholetsistitom. Annaly khirur-
  14. gicheskoi gepatologi]i 2005; 10: 2: 192.
  15. Emel'ianov S.I., Melikian A.R., Fedenko V.V.[ Klassifi-
  16. katsiia oslozhnenii khirurgii zhelchnykh putei s pozitsii
  17. endovideokhirurgii.] Med. nauka Armenii 2001; 2: 44-
  19. Zakharov O.V., Kolesnikov S.A., Kovalenko B.S. Takti-
  20. ka lecheniia bol'nykh ostrym kholetsistitom s vysokoi
  21. stepen'iu operatsionno-anesteziologicheskogo riska.
  22. Kharkivs'ka khirurgichna shkola 2009; 3.1(35): 114-115.
  23. Nekrasov A.Iu., Bezaltynnykh A.A. Osobennosti la-
  24. paroskopicheskoi kholetsistektomii pri ostrom khole-
  25. tsistite. Endoskopicheskaia khirurgiia 2006; 12: 5: 38–40.
  26. Prudkov I.D., Khodakov V.V., Prudkov M.I. Ocherki la-
  27. paroskopicheskoi khirurgii. Sverdlovsk: Izd-vo Ural.
  28. un-ta 1989; 144.
  29. Timoshin A.D., Shestakov A.L., Iurasov A.V. Maloinva-
  30. zivnye vmeshatel'stva v abdominal'noi khirurgii. M.:
  31. Triada-Kh 2003; 216.
  32. Timoshin A.D., Shestakov A.L., Iurasov A.V. Khirurgi-
  33. cheskoe lechenie zabolevanii zhelchnykh putei. Annaly
  34. khirurgicheskoi gepatologii 1999; 4: 2: 23-31.
  35. Topuzov E.G., Kiakkinen A.I., Erokhina E.A., Suladze B.S.
  36. Maloinvazivnoe vmeshatel'stvo cherez mini-dostup u
  37. bol'nykh s oslozhnennym techeniem zhelchnokamennoi
  38. bolezni. Annaly khirurgicheskoi gepatologii 2005; 10:
  39. : 228.
  40. Torgunakov A.P., Sashko A.A., Parkhomenko I.S., Volodin
  41. V.V. Obosnovanie vybora mini-dostupov dlia kholetsi-
  42. stektomii. Trudy kongressa "Aktual'nye problemy
  43. sovremennoi khirurgii". M. 2003; 57.
  44. Shalimov A.A., Kopchak V.M., Dronov A.I. i dr. Kholetsi-
  45. stektomiia mini laparotomnym dostupom: Retrospek-
  46. tivnyi analiz 10-letnei raboty. Klin. khirurgiia 2001;
  47. : 12-15.
  48. Shevchenko Iu.L. Shchadiashchaia khirurgiia. M: GEOTAR-ME-
  49. DIA 2005; 316.
  50. Shulutko A.M., Danilov A.I., Markova Z.S., Kornev L.V.
  51. Minilaparotomiia pri khirurgicheskom lechenii kal'-
  52. kuleznogo kholetsistita. Khirurgiia im. N.I. Pirogova.
  53. ; 1: 36-37.
  54. Assalia A, Kopelman D, Hashmonai M. Emergency minilaparotomy
  55. cholecystectomy for acute cholecystitis:
  56. prospective randomized trial – implications for the
  57. laparoscopic era. World J Surg. 1997; 21: 534–539.
  58. Iain C. Cameron, William E. G. Thomas Short Stay Surgery.
  59. Springer Surgery Atlas Series, 2008, IV: 217-223.
  60. Russell RCG, Shankar S. The stabilized ring retractor: a
  61. technique for cholecystectomy. Br J Surg, 1987; 74: 826.

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