Prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomy
Objective. To analyze the causes and rates of perioprative complications and to estimate the methods of their correction while performance of a monoport laparoscopic cholecystectomy (LCH) for chronic calculous cholecystitis (CHCH). Маterials and methods. In the period of 2015 - 2017 yrs in 102 pa...
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| Format: | Article |
| Language: | English |
| Published: |
Liga-Inform ltd.
2018-07-01
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| Series: | Клінічна хірургія |
| Subjects: | |
| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/440 |
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| Summary: | Objective. To analyze the causes and rates of perioprative complications and to estimate the methods of their correction while performance of a monoport laparoscopic cholecystectomy (LCH) for chronic calculous cholecystitis (CHCH).
Маterials and methods. In the period of 2015 - 2017 yrs in 102 patients a monoport LCH for CHCH was performed.
Results. In all the patients a standard monoport cholecystectomy was performed, using laparoscopic transumbilical access. In 12 patients a necessity for additional 5-mm trocar have occurred, in 2 - a necessity for conversion (pass towards the four-port access in cholecystectomy). In 11 patients the abdominal cavity drainage via additional (5 mm) access was done, in 3 the liquid accumulations were revealed in zone of the gallbladder vesicle bed. In 1 a drainage tube was inserted and endoscopic papillosphincterotomy was performed.
Conclusion. A monoport access for performance of cholecystectomy may be applied in patients with uncomplicated course of CHCH. Possible complications, occurring while application of a monoport access, may be predicted and addressed by prophylactic measures. |
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| ISSN: | 0023-2130 2522-1396 |