In the RNCEMP for the period 2001 to 2019 10218 surgeries were performed for acute and complicatedforms of cholelithiasis (GSD), after which clinically significant early intra-abdominal complications (ERBO),requiring repeated endobiliary, laparoscopic or open interventions, were noted in 260 (2.5%) patients. Thefrequency of RVBO after emergency cholecystectomy averages 2.5% with a range from 1.8% (after LCE) to3.3% (after conventional CE) and 4.6% (after minilaparotomic CE). With cholecystectomy, the frequency ofiatrogenic damage to hepaticocholedochus ranges from 0.7-0.8%. In the structure of RVBO requiring repeatedinterventions, complications associated with a violation of the integrity of the ductal system prevail: in 41.9%of cases, there is an external (23.8%) or intra-abdominal (18.1%) bile leakage, in 26.2% of cases - damage to themain extrahepatic bile ducts; followed by intra-abdominal bleeding (16.2%) and abdominal abscesses (15.8%).In RVBO after operations on the bile ducts, in 63.1% of cases, the existing complications can be eliminatedusing endobiliary interventions (19.7%), endovideosurgical techniques (35.2%) and a hybrid application oftwo endoscopic technologies - videolaparoscopy and endoscopic transpapillary stenting of the choledochus(8.2%).
| Mualliflar | A.M. Khadjibaev, K.S. Rizaev, U.R. Riskiev, B.I. Shukurov, R.A. Yangiev, M.M. Pulatov |
|---|---|
| Jurnal | Shoshilinch tibbiyot axborotnomasi |
| Nashr sanasi | 2022-01-01 |
| Jild | 14 |
| Son | 5 |
| Til | en |
| DOI | 10.54185/tbem/vol14_iss5/a1 |
DOI: 10.54185/tbem/vol14_iss5/a1 · Maqolaning asl sahifasi · PDF
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