ABSTRACT
The results of treatment of 21 patients, suffering nonparasitic hepatic cysts, using laparoscopic draining and puncture under ultrasonographic control, were analyzed. Minimal traumaticity of the intervention, absence of necessity to apply general anesthesia, low rate of postoperative morbidity (7.1%), reduction of duration of the patients stationary treatment down to (3.3 ± 0.61) days, reduction of economic wastes on the treatment constitute the advantages of such method.
Subject(s)
Cysts/surgery , Laparoscopy/methods , Liver/surgery , Surgery, Computer-Assisted/methods , Adult , Aged , Anesthesia, Local , Cysts/diagnostic imaging , Cysts/pathology , Female , Humans , Laparoscopy/economics , Laparoscopy/instrumentation , Length of Stay , Liver/diagnostic imaging , Liver/pathology , Male , Middle Aged , Surgery, Computer-Assisted/economics , Surgery, Computer-Assisted/instrumentation , UltrasonographyABSTRACT
The results of comparison between the operation stress degree in various kinds of surgical interventions, performed for an acute cholecystitis, using determination of cortizol, prolactin and glucose content before the operation, intraoperatively and postoperatively in 50 patients, are adduced. There was established, that the largest (in 5.3 times) and the most durable (more than 24 hours) intr erative raising of the cortizol level in the blood serum was noted in patients, to whom open cholecystectomy (OCH) was done, and the minimal (in 2.2 times) and the least durable (up to 1 hour)--while performing transcutaneous transhepatic draining (TTD) of gallbladder under ultrasonographic control. While performance of laparoscopic cholecystectomy (LCH) there was noted the most pronounced intraoperative raising of prolactin level (in 3.6 times) and more rapid its lowering (during 24 hours) in comparison with such while the OCH performance (during 72 hours). In TTD there was observed the minimal intraoperative inhancing of the prolactin level (in 2.3 times) and its duration (during 1 hour) postoperatively. The above mentioned have witnessed, that while TTD of gallbladder performance stimulation of the anterior hypophysis is significantly lesser, than while LCH and OCH.
Subject(s)
Cholecystectomy, Laparoscopic/psychology , Cholecystitis, Acute/psychology , Stress, Psychological/blood , Surgery, Computer-Assisted/psychology , Blood Glucose/metabolism , Case-Control Studies , Cholecystitis, Acute/blood , Cholecystitis, Acute/diagnostic imaging , Cholecystitis, Acute/surgery , Gallbladder/diagnostic imaging , Gallbladder/surgery , Humans , Hydrocortisone/blood , Intraoperative Period , Liver/diagnostic imaging , Liver/surgery , Postoperative Period , Preoperative Period , Prolactin/blood , Risk Factors , Stress, Psychological/diagnostic imaging , Stress, Psychological/surgery , UltrasonographyABSTRACT
Investigation was conducted, using laser Doppler flowmetry (LDF) with the help of LAKK-02 analizator, with the objective to improve the results of surgical treatment and prophylaxis of complications in the postoperative wound healing in patients, suffering concomitant obesity. Characteristic disorders of microcirculation in soft tissues of the anterior abdominal wall in the operative intervention region were analyzed. There were examined 31 patients, suffering obesity stages I-III, their body mass index was (39.11 +/- 0.79) kg/m2 at average. Microcirculation disorders in soft tissues of the anterior abdominal wall have caused worsening of the postoperative period course in the patients. LDF is a highly informative noninvasive method, which have to be used trustworthy for estimation of a microcirculation bed state in the patients, suffering obesity.
