FEATURES OF SURGICAL TREATMENT OF GALLSTONE DISEASE AND PREVENTION OF ITS COMPLICATIONS

  • V. V. Kryzhevskii
  • O. O. Bilyayeva
  • Yu. V. Pavlovych
Keywords: gallstone disease, cholecystitis, laparoscopic cholecystectomy, bile duct injuries, bail out procedures, conversion.

Abstract

The aim. To analyze the results of surgical treatment of gallstone disease (GD), methods of prevention of complications.

Materials and methods. To analyze the results of surgical treatment of gallstone disease (GD), methods of preventing complications.

Results and discussion. The data of 204 patients with GD who underwent laparoscopic cholecystectomy (LC) at the Kiev City Hospital No. 6 and the Medical Center “Universal Clinic Oberig” for 2018 were analyzed.

Conclusions. The only radical method of treatment of CD is LC. To reduce the complications of LC, it is necessary to conduct the correct selection of patients and apply bail-out strategies to overcome complex LHE.

References

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REFERENCES
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5. De’Angelis N, Catena F, Memeo R, Coccolini F, Martнnez-Pйrez A, Romeo OM, et al. 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy. World J Emerg Surg. 2021; 16(1):1-27.
6. MacDonald AA, Richardson M, Sue L, Hakiwai A, Stephenson G, Harman R, et al. Bedside ultrasonography for acute gallstone disease: a diagnostic accuracy study of surgical registrars and emergency medicine physicians. ANZ J Surg. 2020; 90(12): 2467-2471. doi: 10.1111/ans.16169.
7. Conrad C, Wakabayashi G, Asbun HJ, Dallemagne B, Demartines N, Diana M, et al. IRCAD recommendation on safe laparoscopic cholecystectomy. J Hepatobiliary Pancreat Sci. 2017; 24(11): 603-15.
8. Serban D, Socea B, Balasescu SA, Badiu CD, Tudor C, Dascalu AM, et al. Safety of Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly: A Multivariate Analysis of Risk Factors for Intra and Postoperative Complications. Medicina (Kaunas). 2021;57(3):230. doi: 10.3390/medicina57030230.
9. Hassan AM. Preoperative predictive risk factors of difficult laparoscopic cholecystectomy. Egypt J Surg. 2021;40:53643.doi: 10.4103/ejs.ejs_7_21.
10. Hussien M, Appadurai IR, Delicata RJ, Carey PD. Laparoscopic cholecystectomy in the grossly obese: 4 years experience and review of literature. HPB (Oxford). 2002; 4(4):157-161. doi:10.1080/13651820260503792.
11. Enami Y, Aoki T, Tomioka K, Hakozaki T, Hirai T, Shibata H, et al. Obesity is not a risk factor for either mortality or complications after laparoscopic cholecystectomy for cholecystitis. Sci Rep. 2021;11(1):2384. doi: 10.1038/ s41598-021-81963-5.
12. Saeed A, Salim M, Kachhawa DS, Chaudhary R. Intraoperative factors responsible for conversion of laparoscopic cholecystectomy to open cholecystectomy in a tertiary care center. Int Surg J. 2020; 7(5):1467.
Published
2021-12-08
How to Cite
Kryzhevskii, V. V., Bilyayeva, O. O., & Pavlovych, Y. V. (2021). FEATURES OF SURGICAL TREATMENT OF GALLSTONE DISEASE AND PREVENTION OF ITS COMPLICATIONS. Kharkiv Surgical School, (5-6), 31-37. https://doi.org/10.37699/2308-7005.5-6.2021.07
Section
GENERAL AND EMERGENCY SURGERY