IMPROVEMENT OF MINIMALLY INVASIVE SURGICAL INTERVENTIONS IN THE TREATMENT OF PATIENTS WITH CHOLECYSTOCHOLEDOCHOLITHIASIS
Keywords:
cholelithiasis; cholecystocholedocholithiasis; cholangitis; one-stage treatment, hybrid minimally invasive interventionsAbstract
The article discusses the method of surgical treatment of patients with complicated forms of cholelithiasis, using hybrid minimally invasive technologies (laparoscopic and endoscopic methods in an X-ray surgical operating room). Between 2017 and 2023, 1163 patients with acute cholecystitis were operated on. Of these, 107 (9.2%) patients had a combination of acute cholecystitis with the presence of stones in the extrahepatic bile ducts with symptoms of obstructive jaundice and cholangitis. In this group, we used hybrid minimally invasive technologies for sanitation of the bile ducts in 55 patients. The conversion rate to open access was 7.2% (4 patients), postoperative complications in the early postoperative period were noted in 5.45% (3) of patients. No postoperative mortality was observed. Hybrid minimally invasive operations on the gallbladder and bile ducts for complicated forms of cholelithiasis are a low-traumatic intervention with a minimum number of postoperative complications. In the absence of contraindications, this technology can be widely used in institutions providing emergency surgical care.
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Статья поступила в редакцию 05.07.2024; одобрена после рецензирования 21.08.2024; принята к публикации 24.08.2024.
The article was submitted 05.07.2024; approved after reviewing 21.08.2024; accepted for publication 24.08.2024.
Информация об авторах:
Курбаниязов Зафар Бабажанович - д.м.н., профессор, Заведующий кафедрой «Хирургические болезни, трансплантология и урология №1» 2-го лечебного факультета. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: sammi@sammi.uz, https://orcid.org/0000-0001-5468-9403
Мухиддинов Бобур Хуроз угли – базовый докторант кафедры. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: boburmed6886@gmail.com, https://orcid.org/0009-0008-7789-3819
Аскаров Пулат Азадович - к.м.н., заведующий курсом «Миниинвазивная и лапароскопическая хирургия» pulic76@mail.ru https://orcid.org/ 0000-0003-4542-1442
Источники финансирования: Работа не имела специального финансирования.
Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
Вклад авторов:
Курбаниязов З.Б. — идеологическая концепция работы, написание текста; редактирование статьи;
Аскаров П.А., Мухиддинов Б.Х. — сбор и анализ источников литературы, написание текста.
Information about the authors:
Kurbaniyazov Zafar Babazhanovich - Doctor of Medical Sciences, Professor, Head of the Department of “Surgical Diseases, Transplantology and Urology No. 1” of the 2nd Faculty of Medicine Samarkand state medical university. Samarkand, Uzbekistan; E-mail: sammi@sammi.uz,
Mukhiddinov Bobur Khuroz Ugli – basic doctoral student of the department. Samarkand State Medical University. Samarkand, Uzbekistan; E-mail: boburmed6886@gmail.com, https://orcid.org/0009-0008-7789-3819
Askarov Pulat Azadovich - candidate of medical sciences, head of the course “Minimally invasive and laparoscopic surgery” pulic76@mail.ru https://orcid.org/ 0000-0003-4542-1442
Sources of funding: The work did not receive any specific funding.
Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.
Contribution of the authors:
Kurbaniyazov Z.B. — ideological concept of the work, writing the text; editing the article;
Askarov P.A., Mukhiddinov B.Kh. — collection and analysis of literature sources, writing text.
