Prognostication of complications in patients with diseases of gallbladder after laparoscopic cholecystectomy

Keywords: laparoscopic cholecystectomy; complications; prognostication; factors of risk.

Abstract

Objective. To elaborate a prognostic classification of possibilities for occurrence of іntra- and postoperative complications, basing on determination of a premorbid state and the risk factors, concerning operative intervention in patients, suffering surgical diseases of gallbladder.

Маterials and methods. Retrospective analysis of treatment of 911 patients, suffering cholelithiasis disease, оperated by the laparoscopic cholecystectomy procedure, was conducted, and factors of possibility of occurrence for іntra- and postoperative complications were determined with further establishment of their criteria.

Results. The factors of risk for the complications occurrence after laparoscopic cholecystectomy in patients with diseases of gallbladder (n=911) were investigated. Prognostication pattern of the complications occurrence was built, taking into account the results of correlation-regression analysis conducted, and on its base the clinic-epidemiological groups of the complications risk were formatted with determination of their frequency of confidence intervals.

Conclusion. Theoretical substantiation and scientific-practical decision of the task was presented, concerning raising of efficacy of miniinvasive operative interventions in patients with diseases of gallbladder, using elaborated methods of prophylaxis and surgical treatment of complications.

Author Biographies

М. А. Каshtalyan, Оdessa National Medical University

Kashtalyan M. MD, DSci, Professor
Head of department of general and military surgery
Odessa Medical National University
9 Pastera Str, Odesa, Ukraine
mkashtalian@gmail.com
https://orcid.org/0000-0002-2945-2161

А. E. Тkachenko, Ukrainian Military-Medical Academy, Kyiv

Tkachenko Andrii, MD, PhD, Senior lecturer
Department of Military Surgery,
Ukranian Military Medical Academy,
45/1, Moscow St., Kyiv 01015, Ukraine;
(044) 280-00-34, (044) 280-01-43;
andrtkach@bigmir.net;
https://orcid.org/0000-0002-3371-497X

О. А. Кvasnevskiy, Оdessa National Medical University

Kvasnevskiy Oleksandr, MD, assistant
Department general and military surgery
Odessa National Medical University
9 Pastera Str, Odesa, Ukraine
aleksandrkvasnevskij@gmail.com
https://orcid.org/0000-0001-6630-0143

А.О. Коlotvin, Оdessa National Medical University

Kolotvin Andrei, MD, assistant
Department general and military surgery
Odessa National Medical University
9 Pastera Str, Odesa, Ukraine
E-mail andre-84@ukr.net
ORCID https://orcid.org/0000-0001-6384-9667

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Published
2020-09-30
How to Cite
КаshtalyanМ. А., ТkachenkoА. E., КvasnevskiyО. А., & КоlotvinА. (2020). Prognostication of complications in patients with diseases of gallbladder after laparoscopic cholecystectomy. Klinicheskaia Khirurgiia, 87(7-8), 10-14. https://doi.org/10.26779/2522-1396.2020.7-8.10
Section
General Problems of Surgery