CURRENT APPROACHES AND NEW RESEARCH IN
MODERN SCIENCES
International scientific-online conference
103
FEATURES OF LAPHAROSCOPIC CHOLECYSTECTOMY IN ACUTE
KALCULATED CHOLECYSTITIS
Xakimov O.S.
Qurbonov SH.P.
Andijan State Medical Institute
https://doi.org/10.5281/zenodo.15220379
Purpose of research:
development of a laparoscopic cholecystectomy
method with interpretation of inflammatory changes in the gallbladder in acute
destructive cholecystitis.
Materials and methods.
The results of performing LCHE in 62 patients
with destructive changes are presented. The implementation methodology is
described, and a conclusion is made about the high effectiveness of the
laparoscopic cholecystectomy methods developed in the clinic.
Of the 62 patients with acute destructive cholecystitis, 19 were operated on
urgently within the first 2 hours after admission, 7 due to local and diffuse
peritonitis. The vast majority of patients with acute destructive cholecystitis (43
(69.3%) underwent emergency surgery. Out of 62 patients, 43 (693.%)
underwent surgery urgently, on the first 3 days after admission, and 18 (29%)
underwent surgery on the 4th day after admission. We optimized the
laparoscopic cholecystectomy technique by combining the methods known to
date. The first stage is the aspiration of the gallbladder contents. After
aspiration, the gallbladder with its infiltrated wall becomes more mobile,
creating conditions for gallbladder traction. The second stage is the mobilization
of the cystic artery. Oren.
Results and discussion.
After the introduction of improved LCHE
methodology technology into clinical practice, since 2015, the conversion rate
has decreased to 2%, and since 2000, and to date, it has been 0.4%.
Conclusions.
The developed clear technical methods for performing
laparoscopic cholecystectomy (LCE) in destructive forms of acute calculous
cholecystitis will allow achieving high positive results while maintaining a stable
rate of complications at 1-2% and reducing mortality to -0.1%.
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CURRENT APPROACHES AND NEW RESEARCH IN
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International scientific-online conference
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