Laparoscopic cholecystectomy in an acute calculous cholecystitis in patients, who earlier were operated on abdominal organs
Abstract
Objective. Studying of efficacy of preoperative diagnosis and laparoscopic methods of treatment for the adhesive disease (AD) in patients, suffering an acute calculous cholecystitis (ACCH).
Маterials and methods. Analysis of efficacy of preoperative diagnosis and laparoscopic correction methods for AD in 110 patients, suffering ACCH, operated earlier on abdominal organs.
Results. Diagnostic validity of ultrasonography in AD is high. Application of ultrasonic scalpel (USS) in patients, suffering pronounced local inflammatory changes in tissues of the gallbladder region and concurrent AD, has advantages.
Conclusion. Application of USS constitute the most effective and secure method of the adhesions and infiltrate dissection in ACCH.
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