ABSTRACT
THE PURPOSE OF THE STUDY: optimization measures for postoperative management of patients after laparoscopic cholecystectomy. MATERIAL AND METHODS: In the study group included 102 women and 302 men. At the 303 patients (75%) for specific indications ERCP was performed. Age of patients varied from 16 to 80 years and averaged 47.7 ± 12.9 years. It should be noted that at 298 (98.3%) patients ERCP was performed prior to laparoscopic cholecystectomy with diagnostic or therapeutic purposes. To assess the effectiveness of treatment comparison group (control group) consisted of 20 patients with postoperative complications identified after cholecystectomy; patients received basic diet. Main group--25 patients, where in treatment as an additional therapeutic agent administered vegetables "Hepartea". Liver function was assessed by biochemical studies (total protein, urea, ALT and AST). Were determined the quality of life of patients immediately after surgery and at certain stages of rehabilitation after the application of supportive therapy. RESULTS: According to clinical, laboratory and morphological studies acute cholecystitis abscess was observed at 0.25 ± 0.25%; chronic calculous cholecystitis in 75.7 ± 2.13%. Among the total surveyed hospitalized patients in 16 (5.3%) patients ERCP was performed with diagnostic, and in 287 (94.7%) cases--with curative intent. Statistical analysis of data obtained from the structural components of the SF-36 in 30 days after completion of conservative therapy with herbal preparation revealed some nnormalization of protein metabolism, enzyme activity and other indicators of liver function. CONCLUSION: dates on the main group of the patients noted relatively fast dynamics of normalization of stimulating cell-mediated immunity, evidenced by a more pronounced and significant decrease in protein damage and reduction of urea. Chemical analysis of peripheral blood and clinical trials show greater therapeutic effect of herbal drug when used in the early postoperative period after laparoscopic cholecystectomy. Using herbal drug in treatment of complications of laparoscopic cholecystectomy can effectively stop clinical and biochemical manifestations of inflammation, reduce the incidence of postoperative complications and reduce the time of rehabilitation, which has a significant beneficial impact on the quality of life of patients.
