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Improving the results of the laparoscopic cholecystectomy in patients with complicated course of the calculous cholecystitis

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dc.contributor.author Kanikovsky, O. Y. en
dc.contributor.author Karyi, Y. V. en
dc.contributor.author Babiichuk, Y. V. en
dc.contributor.author Shaprynskyi, Y. V. en
dc.date.accessioned 2019-08-27T07:15:56Z
dc.date.available 2019-08-27T07:15:56Z
dc.date.issued 2019
dc.identifier.citation Improving the results of the laparoscopic cholecystectomy in patients with complicated course of the calculous cholecystitis / Kanikovsky O. Y., Karyi Y. V., Babiichuk Y. V., Shaprynskyi Y. V. // Wiadomości Lekarskie. – 2019. – Vol. 72, № 5 (1). – P. 790-794. en
dc.identifier.uri https://dspace.vnmu.edu.ua/123456789/3894
dc.description.abstract Introduction: The laparoscopic cholecystectomy (LCE) has become “gold standard” in treatment of the gallstone disease (GSD). However, introduction of LCE is accompanied by increase in the frequency of the bile duct injuries by 2-5 times, and transfer to the conversion offsets main advantages of the laparoscopic access. The aim: Тo improve the results of treatment of the patients with complicated course of the calculous cholecystitis by developing new methods of the laparoscopic cholecystectomy. Materials and methods: The results of surgical treatment of 420 patients with complicated course of the calculous cholecystitis were analyzed. The patients were divided intwo groups: group I (n = 210) where the standard four-trocar LCE was used and the group II (n = 210) where the developed methods of LCE were used. The average age made up 62 ± 6.0 years. Duration of disease made up from 1 month to 35 years. Results: The patients in group I LCE with complicated course of the acute cholecystitis was performed in 108 (25.7%) cases, chronic – in 102 (24.3%) cases. The patients in group II surgical intervention with complicated course of the acute cholecystitis was performed in 112 (26.7%) cases, chronic – in 98 (23.3%) cases. The patients of group I intraoperative injuries were observed in 12 (5.7%) cases and patients of group II – in 4 (1.9%) cases. The conversion was applied in 13 (6.2%) and in 4 (1.9%) cases, respectively. 2 (0.9%) patients died. Conclusions: Introduction of the developed methods of LCE with complicated course of the calculous cholecystitis allows to reduce the frequency of intraoperative injuries by 3,8% and conversion rate – by 4,3% (p <0,001). en
dc.language.iso en en
dc.publisher Wiadomości Lekarskie pol
dc.subject complicated course of the acute and chronic calculous cholecystitis en
dc.subject laparoscopic cholecystectomy en
dc.subject intraoperative injuries en
dc.title Improving the results of the laparoscopic cholecystectomy in patients with complicated course of the calculous cholecystitis en
dc.type Article en


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