ACADEMIC RESEARCH IN MODERN SCIENCE
International scientific-online conference
109
LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE CHOLECYSTITIS IN
PATIENTS WITH INCREASED OPERATIONAL RISK
Xakimov O.S.
Otaquziev A.Z.
Andijan State Medical Institute
https://doi.org/10.5281/zenodo.15220372
Purpose of the research.
Improvement of surgical treatment results for
acute calculous cholecystitis in patients with increased surgical risk.
Research material and methods..
Mat
This study is based on the analysis of clinical observations of 30 elderly and
senile patients with acute calculous cholecystitis between 2017 and 2019. At the
same time, the proportion of destructive forms of acute cholecystitis in elderly
and senile patients is 50-58%. There were 3 (10%) men and 27 (90%) women
aged 18 to 65. The duration of the disease ranged from 6 to 72 hours. All
patients underwent surgery under general anesthesia under artificial lung
ventilation, using an endovideosurgical stand. "Laparoscopic operations on the
gallbladder were performed using an endosurgical complex and sets of surgical
instruments from the Karl Storz company (Germany).
series and research methods..
Research results.
LXE according to the technique optimized by us due to
the combination of methods known to date. In the technique of performing the
operation, we consider the following stages. LCHA was performed on 26
patients. In 3 patients, due to an infiltrate in the gallbladder neck area, an
additional trocar was applied to the right hypochondrium, through which a
puncture and aspiration of the gallbladder contents were performed, and
subsequently, the subphrenic region was drained through this port. LCHE
conversion was required in one patient, the reason being intraoperative
bleeding.
The average intervention time was 49±6.1 min. No complications were
observed in the early postoperative period. On the 2nd day, an ultrasound of the
abdominal cavity was performed. Patients became active on the first day after
surgery, the pain syndrome was minimal, and did not require the use of narcotic
analgesics. Patients were discharged on the 5th day after surgery in satisfactory
condition. The sutures were removed on an outpatient basis on the 5th day.
Conclusions.
Laparoscopic cholecystectomy in elderly and senile patients
allows for good results and, at the same time, reduces the invasiveness of
surgical intervention and postoperative complications.
ACADEMIC RESEARCH IN MODERN SCIENCE
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