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 |
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Liga-Inform ltd.
2018-07-01
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| Series: | Клінічна хірургія |
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| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/440 |
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| author | B. S. Kravchenko |
| author_facet | B. S. Kravchenko |
| author_sort | B. S. Kravchenko |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9aec55d06c284b908ec79647b641a110 |
| institution | Kabale University |
| issn | 0023-2130 2522-1396 |
| language | English |
| publishDate | 2018-07-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj-art-9aec55d06c284b908ec79647b641a1102025-08-20T03:35:24ZengLiga-Inform ltd.Клінічна хірургія0023-21302522-13962018-07-01856272910.26779/2522-1396.2018.06.27440Prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomyB. S. Kravchenko0Zaporizhzhya State Medical UniversityObjective. 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.https://hirurgiya.com.ua/index.php/journal/article/view/440monoport access; laparoscopic cholecystectomy; chronic calculous cholecystitis; perioperative complications. |
| spellingShingle | B. S. Kravchenko Prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomy Клінічна хірургія monoport access; laparoscopic cholecystectomy; chronic calculous cholecystitis; perioperative complications. |
| title | Prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomy |
| title_full | Prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomy |
| title_fullStr | Prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomy |
| title_full_unstemmed | Prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomy |
| title_short | Prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomy |
| title_sort | prophylaxis and correction of complications while performance of a monoport laparoscopic cholecystectomy for chronic calculous cholecystectomy |
| topic | monoport access; laparoscopic cholecystectomy; chronic calculous cholecystitis; perioperative complications. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/440 |
| work_keys_str_mv | AT bskravchenko prophylaxisandcorrectionofcomplicationswhileperformanceofamonoportlaparoscopiccholecystectomyforchroniccalculouscholecystectomy |