ABSTRACT
Own experience of surgical treatment of patients for postcholecystectomy syndrome (PCHES) in a 2010 - 2015 yrs period was enlighten. The PCHES modified classification was adduced, the immediate and remote results of the patients' treatment were analyzed, technical aspects and peculiarities of performance of some operative interventions, the risk factors for the PCHES occurrence were analyzed.
Subject(s)
Bile Ducts/surgery , Gallbladder/surgery , Postcholecystectomy Syndrome/classification , Postcholecystectomy Syndrome/diagnosis , Algorithms , Bile Ducts/pathology , Bile Ducts/physiopathology , Cholecystectomy/methods , Cholecystectomy/rehabilitation , Duodenum/pathology , Duodenum/physiopathology , Female , Gallbladder/pathology , Gallbladder/physiopathology , Humans , Male , Pancreas/pathology , Pancreas/physiopathology , Postcholecystectomy Syndrome/physiopathology , Postcholecystectomy Syndrome/surgery , Retrospective Studies , Risk FactorsSubject(s)
Anastomosis, Surgical/methods , Cholelithiasis/surgery , Hemobilia/surgery , Hepatic Artery/surgery , Hepatic Duct, Common/surgery , Adult , Cholecystectomy, Laparoscopic , Cholelithiasis/pathology , Female , Hemobilia/pathology , Hepatic Artery/pathology , Hepatic Duct, Common/pathology , Humans , ReoperationABSTRACT
Abstract Own experience of treatment of patients for biliary calculous disease, coexistent with other abdominal and retroperitoneal organs diseases, was analyzed. The rate of postcholecystectomy syndrome (PCHES) occurrence in such patients was determined, the impact of simultant operative interventions using laparoscopic and laparotomic accesses on the rate of the PCHES occurrence was established. The elaborated diagnostic-treatment algorithm with application of measures, directed on the PCHES prophylaxis, was elaborated. There was established, that performance of simultant operations in accordance to strict indications secures a trustworthy reduction of the PCHES occurrence rate.
Subject(s)
Cholecystectomy, Laparoscopic/methods , Cholelithiasis/surgery , Cysts/surgery , Postcholecystectomy Syndrome/prevention & control , Adrenal Glands/surgery , Bile Ducts/surgery , Cholecystectomy, Laparoscopic/adverse effects , Cholelithiasis/pathology , Cysts/pathology , Female , Humans , Liver/surgery , Male , Mediastinum/surgery , Ovary/surgery , Pancreas/surgery , Postcholecystectomy Syndrome/etiology , Retrospective Studies , Uterus/surgeryABSTRACT
Own experience of treatment of the common biliary duct cysts was analyzed in the patients, to whom earlier noneffective operative procedures for this purpose were performed. The main causes of the operations faults were unmasked, the proposed treatment-diagnostic algorithm was proposed, immediate and remote results of operative treatment were analyzed.
Subject(s)
Anastomosis, Roux-en-Y/methods , Cholecystectomy, Laparoscopic/methods , Common Bile Duct/surgery , Cysts/surgery , Reoperation/methods , Common Bile Duct/pathology , Cysts/pathology , Female , Humans , Male , Middle AgedABSTRACT
Accumulated in 2004-2014 yrs in Department of laparoscopic surgery and choledocholithiasis experience of treatment in patients, suffering parasitic and nonparasitic hepatic cysts, was analyzed. Own improved classification of hepatic cystic lesions was proposed. Peculiarities of performance of open operations, of the puncture miniinvasive operations and interventions for hepatic cysts, using laparoscopic approach, were enlighten. Main indications for surgical treatment of hepatic cysts were adduced, depending on their kind, size, localization and clinical signs.
Subject(s)
Cysts/classification , Cysts/surgery , Liver Diseases/classification , Liver Diseases/surgery , Cysts/diagnostic imaging , Cysts/pathology , Diagnosis, Differential , Drainage , Echinococcosis, Hepatic/classification , Echinococcosis, Hepatic/diagnostic imaging , Echinococcosis, Hepatic/pathology , Echinococcosis, Hepatic/surgery , Female , Humans , Laparoscopy , Liver Diseases/diagnostic imaging , Liver Diseases/pathology , Male , Middle Aged , Postoperative Complications/etiology , Treatment Outcome , UltrasonographySubject(s)
Cysts/surgery , Gallbladder/surgery , Gallstones/surgery , Liver/surgery , Aged , Cholecystectomy , Cysts/complications , Cysts/diagnostic imaging , Cysts/pathology , Gallbladder/pathology , Gallstones/complications , Gallstones/diagnostic imaging , Gallstones/pathology , Humans , Liver/diagnostic imaging , Liver/pathology , Male , Tomography, X-Ray ComputedABSTRACT
The own experience on surgical treatment of more than 400 patients, suffering parasytic and nonparasitic hepatic cysts, benign and malignant hepatic tumors, using laparoscopic technologies, was summarized. Indications for laparoscopic operations, the main technical aspects, immediate and late follow-up results were analyzed. Advantages of laparoscopic operations in comparison to open operative interventions in thoroughly selected patients were noted.
