ABSTRACT
The results of endoscopic interventions, performed in 63 patients, suffering benign tumors of duodenal papilla magna (DPM) in Department of Laparoscopic Surgery and Choledocholithiasis in 2005-2014 yrs, were studied. Total one-staged papillectomy was performed in 15 patients, fragmentary total papillectomy--12, local resection of DPM--11, adenomectomy--25. Complicated have had occur in 8 (12.7%) patients. All the patients are alive.
Subject(s)
Ampulla of Vater/surgery , Common Bile Duct Neoplasms/surgery , Hemorrhage/physiopathology , Neoplasms/surgery , Pancreatitis/physiopathology , Postoperative Complications , Sphincterotomy, Endoscopic/methods , Adult , Aged , Ampulla of Vater/pathology , Common Bile Duct Neoplasms/pathology , Female , Humans , Male , Middle Aged , Neoplasms/pathology , Retrospective StudiesABSTRACT
The experience of the application of 78 patients after various laparoscopic procedures was generalized. As perioperative anesthesia drug Infulgan (production of corporation "Jury-Farm") was applyed. Appointment of Infulgan in standard dose ensured the achievement expressed analgesic effect, reducing the volume of injected opioids and frequency of adverse reactions.
Subject(s)
Acetaminophen/therapeutic use , Analgesics, Non-Narcotic/therapeutic use , Antipyretics/therapeutic use , Laparoscopy/methods , Pain/prevention & control , Acetaminophen/pharmacokinetics , Adult , Analgesics, Non-Narcotic/pharmacokinetics , Analgesics, Opioid/therapeutic use , Antipyretics/pharmacokinetics , Appendectomy , Child , Cholecystectomy, Laparoscopic , Hepatectomy , Humans , Hysterectomy , Ovariectomy , Pain/physiopathologyABSTRACT
Basing on analysis of the multicenter clinical investigations results, as well as meta-analysis and consensuses, the main suggestions of the updated Tokyo's clinical recommendations for the treatment of an acute cholangitis and an acute cholecystitis (TG13), diagnostic criteria and the scales of estimation for the patients' state severity, were elaborated. Indications and the drainage methods of a gallbladder were substantiated - in an acute cholecystitis, and of biliary ducts - in an acute cholangitis, as well as peculiarities of surgical treatment of an acute cholecystitis. Empirical antibacterial therapy was enlightened, taking into account the characteristics for biliary infection microorganisms and the disease severity.
