Minilaparoscopic cholecystectomy and Nissen fundoplication in combination with a fast track protocols in the Covid-19 pandemia environment

Keywords: biliary calculous disease; hiatal hernia; minilaparoscopy; pandemia for Covid-19; coronavirus.

Abstract

Objective. Studying of the results of application of minilaparoscopic cholecystectomy and minilaparoscopic Nissen fundoplication in combination with protocols fast track in the Covid-19 pandemia environment.

Materials and metods. Minilaparoscopic cholecystectomy was conducted in 17 patients, minilaparoscopic Nissen fundoplication - in 8 patients.Results. For minilaparoscopic cholecystectomy were used one 10-mm, one 5-mm trocar and two 3-mm trocars for minigraspers. For minilaparoscopic fundoplication there were applied two 5-mm trocars and two 3-mm trocars for minigraspers, also 5-mm Nathanson’s retractor was installed without trocar. After mimilaparoscopic cholecystectomy the pain syndrome on the second day was estimated at average (1.3 ± 1.4) points (0 - 5 points), average duration of postoperative period have constituted (2.2 ± 0.4) bed-days (2 - 3 bed-days). After minilaparoscopic fundoplication the pain syndrome on the second day was estimated at average in (1.4 ± 1.4) points (0 - 3 points), average duration of postoperative period have constituted (2.7 ± 0.9) bed-days (2 - 4 bed-days).

Conclusion. Minilaparoscopic operations may be applied successfully in chronic calculous cholecystitis, small axial hiatal hernias and gastro-esophageal reflux disease. After minilaparoscopic operations in combination with elaborated protocol of fast track minimizes the pain syndrome and terms of the patients’ stationary stay, what is actual in the Covid-19 pandemia environment, and cosmetic result is improving as well. Further elaboration of the material for determination of role of these minilaparoscopic operations is needed.

Author Biographies

V. N. Zaporozhan, Odessa National Medical University

Zaporozhan Valery Mykolayovych, MD, DSci(Med), Professor,
Odessa National Medical University
Valyhovskyi lane, 2, 65082, Odessa, Ukraine
zaporozhan.v@ukr.net
+380487234249
ORCID ID: 0000-0001-5288-3579

A. V. Malynovskyi, Odessa National Medical University

Malynovskyi Andrii Volodymyrovych, MD, DSci(Med), Professor,
Chair of Department of robotic and endoscopic surgery
Odessa National Medical University
22 Nischynskogo str., apt. 96, 65029, Odessa, Ukraine
endosurgery2017@gmail.com
+380663269040
ORCID ID: 0000-0003-4346-8933

M. M. Galimon, Odessa National Medical University

Galimon Mykhailo Mykhailovych, MD,
Assistant of Department of robotic and endoscopic surgery
Odessa National Medical University
1 Ispanskyi lane, apt. 20, 65031, Odessa, Ukraine
galimonmish@gmail.com
+380959304539
ORCID ID: 0000-0003-1551-6117

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Published
2020-07-24
How to Cite
Zaporozhan, V. N., Malynovskyi, A. V., & Galimon, M. M. (2020). Minilaparoscopic cholecystectomy and Nissen fundoplication in combination with a fast track protocols in the Covid-19 pandemia environment. Klinicheskaia Khirurgiia, 87(5-6), 3-8. https://doi.org/10.26779/2522-1396.2020.5-6.03
Section
General Problems of Surgery

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