[Etiology of "difficult" laparoscopic cholecystectomy].
| Autor: | Sazhin VP; Chair of Surgery with Endosurgical Course, Faculty of Additional Postgraduate Education of acad. I.P. Pavlov Ryazan State Medical University., Sazhin IV; Chair of Surgery with Endosurgical Course, Faculty of Additional Postgraduate Education of acad. I.P. Pavlov Ryazan State Medical University., Pod''iablonskaia IA; Chair of Surgery with Endosurgical Course, Faculty of Additional Postgraduate Education of acad. I.P. Pavlov Ryazan State Medical University., Karlov DI; Chair of Surgery with Endosurgical Course, Faculty of Additional Postgraduate Education of acad. I.P. Pavlov Ryazan State Medical University., Nuzhdikhin AV; Chair of Surgery with Endosurgical Course, Faculty of Additional Postgraduate Education of acad. I.P. Pavlov Ryazan State Medical University., Aĭvazian SA; Chair of Surgery with Endosurgical Course, Faculty of Additional Postgraduate Education of acad. I.P. Pavlov Ryazan State Medical University. |
|---|---|
| Jazyk: | ruština |
| Zdroj: | Khirurgiia [Khirurgiia (Mosk)] 2016 (1), pp. 61-66. |
| DOI: | 10.17116/hirurgia2016161-66 |
| Abstrakt: | Aim: To define causes of difficult situations in various forms of acute cholecystitis depending on terms of disease and clinico-morphological changes in gall bladder area and to justify differentiated application of laparoscopic surgery for acute cholecystitis. Material and Methods: It was reviewed 1132 medical records of patients with acute cholecystitis. It is found that morphological changes in gall bladder and surrounding tissues depend on duration of follow-up of patients with acute cholecystitis and type of inflammation. Results: In acute catarrhal cholecystitis "complicated" intraoperative situations are observed in 37.5% due to "loose" tissues infiltration, in phlegmonous and gangrenous forms of inflammation - in 44.6% and 63.6% respectively due to "dense" infiltrates development. Conclusion: Technical variants of laparoscopic cholecystectomy for various "difficult" intraoperative situations are suggested. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|