Laparoscopic cholecystectomy in an acute calculous cholecystitis in patients, who earlier were operated on abdominal organs

Keywords: dissection of adhesions; acute calculous cholecystitis; laparoscopic cholecystectomy; ultrasonic scalpel

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.

Author Biography

N. V. Cherkova, Kharkov National University named after V. N. Karazin

Cherkova Natalia ViktorovnaPhD,
Associate Professor of the Department of Surgical Diseases,
VN. Karazin Kharkiv National University,
180, Roganskaya St., ap. 6, Kharkov 61172, Ukraine,
067-630-50-46.
nat.vict@gmail.com
http://orcid.org/0000-0002-4471-4684

References

1. Vasyliuk MD, Shevchuk AH, Kozan YaI. Laparoskopichna ta tradytsiina kholetsystektomiia i symultanni operatsii na orhanakh cherevnoi porozhnyny. Suchasni medychni tekhnolohii. 2011;4(3):52-5. [In Ukrainian].

2. Odishelashvili GD, Ismailov JeH. Vybor sposobov ostanovki krovotechenija pri povrezhdenii pecheni. Astrahanskij medicinskij zhurnal. 2012;1(7):124-6. [In Russian].

3. Lezana Perez MA, Carreno Villarreal G, Lora Cumplido P, Alvarez Obregon R. Comparative study of ambulatory laparoscopic cholecystectomy versus management of laparoscopic cholecystectomy with conventional hospital stay. 2013;7(91):424-1.

4. Puchkov KV, Puchkov DK. Rezul'taty primenenija miniinvazivnyh laparoskopicheskih metodik v lechenii zabolevanij zhelchnogo puzyrja. Al'manah Instituta hirurgii im. A. V. Vishnevskogo. 2015;10(1):339-0. [In Russian].

5. Masayuki Ohta, Yukio Iwashita, Kazuhiro Yada. Operative Timing of Laparoscopic Cholecystectomy for Acute Cholecystitis in a Japanese Institute. 2012;1(16):65-70.

6. Lohvickij SV, Ceshkovskij MV. Simul'tannye operacii pri posleoperacionnyh gryzhah i kal'kuleznom holecistite. Annaly hirurgicheskoj gepatologii. 2007;3:83-4. [In Russian].
Published
2018-03-03
How to Cite
Cherkova, N. V. (2018). Laparoscopic cholecystectomy in an acute calculous cholecystitis in patients, who earlier were operated on abdominal organs. Klinicheskaia Khirurgiia, 85(3), 17-19. https://doi.org/10.26779/2522-1396.2018.03.17
Section
General Problems of Surgery