Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver.
In the work the analysis of the results of the treatment of 168 patients with complicated cholelithiasis, depending on presence or absence of cirrhosis of the liver has been carried out. In 76 (45.23%) patients, cholelithiasis and concomitant cirrhosis of the liver were complicated, in 92 (54.77%) -...
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| Format: | Article |
| Language: | English |
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Dnipro State Medical University
2019-10-01
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| Series: | Medičnì Perspektivi |
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| Online Access: | http://journals.uran.ua/index.php/2307-0404/article/view/145709 |
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| author | S. D. Khimich F. T. Muraviov N. G. Rudkovska |
| author_facet | S. D. Khimich F. T. Muraviov N. G. Rudkovska |
| author_sort | S. D. Khimich |
| collection | DOAJ |
| description | In the work the analysis of the results of the treatment of 168 patients with complicated cholelithiasis, depending on presence or absence of cirrhosis of the liver has been carried out. In 76 (45.23%) patients, cholelithiasis and concomitant cirrhosis of the liver were complicated, in 92 (54.77%) - complicated cholelithiasis without cirrhosis of the liver. The stage of liver cirrhosis was assessed by the Child-Pugh system. It has been established that cholecystectomy with laparoscopic or traditional open-release in the stage of Child A cirrhosis is quite safe, and the risk of development of complications can be compared with the risk in patients without liver cirrhosis. Urgent surgical interventions in patients with cirrhosis of the liver in the stage of Child B and Child C are associated with an increased risk of development of intra- and postoperative complications and mortality. |
| format | Article |
| id | doaj-art-df5b958277364e4fa2adbb13f5fe3aff |
| institution | Kabale University |
| issn | 2307-0404 |
| language | English |
| publishDate | 2019-10-01 |
| publisher | Dnipro State Medical University |
| record_format | Article |
| series | Medičnì Perspektivi |
| spelling | doaj-art-df5b958277364e4fa2adbb13f5fe3aff2025-01-02T01:57:48ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042019-10-01234(part1)10.26641/2307-0404.2018.4(part1).145709145709Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver.S. D. KhimichF. T. MuraviovN. G. RudkovskaIn the work the analysis of the results of the treatment of 168 patients with complicated cholelithiasis, depending on presence or absence of cirrhosis of the liver has been carried out. In 76 (45.23%) patients, cholelithiasis and concomitant cirrhosis of the liver were complicated, in 92 (54.77%) - complicated cholelithiasis without cirrhosis of the liver. The stage of liver cirrhosis was assessed by the Child-Pugh system. It has been established that cholecystectomy with laparoscopic or traditional open-release in the stage of Child A cirrhosis is quite safe, and the risk of development of complications can be compared with the risk in patients without liver cirrhosis. Urgent surgical interventions in patients with cirrhosis of the liver in the stage of Child B and Child C are associated with an increased risk of development of intra- and postoperative complications and mortality.http://journals.uran.ua/index.php/2307-0404/article/view/145709cholelithiasischolecystectomycirrhosis of the liver |
| spellingShingle | S. D. Khimich F. T. Muraviov N. G. Rudkovska Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. Medičnì Perspektivi cholelithiasis cholecystectomy cirrhosis of the liver |
| title | Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. |
| title_full | Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. |
| title_fullStr | Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. |
| title_full_unstemmed | Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. |
| title_short | Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. |
| title_sort | analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver |
| topic | cholelithiasis cholecystectomy cirrhosis of the liver |
| url | http://journals.uran.ua/index.php/2307-0404/article/view/145709 |
| work_keys_str_mv | AT sdkhimich analysisofunsatisfactoryresultsoflaparoscopiccholecystectomyinpatientswithcirrhosisoftheliver AT ftmuraviov analysisofunsatisfactoryresultsoflaparoscopiccholecystectomyinpatientswithcirrhosisoftheliver AT ngrudkovska analysisofunsatisfactoryresultsoflaparoscopiccholecystectomyinpatientswithcirrhosisoftheliver |