OPTIMIZATION OF TACTICAL AND TECHNICAL ASPECTS OF SURGICAL TREATMENT OF ELDERLY AND SENIOR PATIENTS WITH COMPLICATED FORMS OF CHOLELITHIASIS
Keywords:
Gallstone disease, elderly and senile ageAbstract
The results of treatment of 171 elderly and old patients with complicated cholelithiasis configurations are presented. Factor consideration determined that a larger proportion of mortality, purulent-septic and extra-abdominal complications (Fourteen.8%, 48.1% and 55.6% in accordance with this) in patients of the elderly and the old year were traced after the efforts one-stage constructive surgical correction of intense destructive cholecystitis or obstructive cholangitis. Staged surgical therapy, taking into account the established criteria for scoring the level of severity by the capital of patients, as well as the predictable risk of postoperative complications, together with the use of preparatory minimally invasive decompression interventions in malicious routes performed in 42.2% of patients of the main category, allowed to localize purulent-cholemic intoxication, improve the results of further constructive actions. In 15.6% of patients, these interventions appeared to be the final cure. Improving the tactical and technical nuances of surgical treatment of elderly and old patients with complicated cholelithiasis configurations, taking into account the severity level of patients' capital and the predictable risk of postoperative complications, allowed to significantly reduce mortality, postoperative purulent-septic and extra-abdominal burdens (3.1%, 12 .4% and 29.9% in line with this), while in the matching team, these characteristics collected 8.1%, 32.4% and 41.9%.
References
Абдурахманов Д.Ш. и др. «Напряженная герниопластика и абдоминопластика у больных с морбидным ожирением». Вестник науки и образования 3-2 (106) (2021): 88-98.
Бабажанов А.С. и соавт. Анализ результатов хирургического лечения больных с узлами щитовидной железы // Вопросы науки и образования. - 2019. - №. 4 (49).
Шамсутдинов С.Б., Абдурахманов Д.Ш., Рахманов К.Э. Повторные реконструкции пищеварительного тракта при хирургии операционного желудКА // Збірник наукових праць ΛΌГOΣ. - 2021 г. С. 49-50.
Abduraxmanov D.Sh. et al. Analysis of surgical treatment options for different types of mirizzi syndrome //Вестник науки и образования. – 2021. – №. 5-1 (108). – С. 71-76.
Abduraxmanov D.Sh. et al. Clinical questions extreme currents syndrome mirizzi //Вестник науки и образования. – 2021. – №. 5-1 (108). – С. 65-70.
Abduraxmanov D.Sh. et al. Modern views on the pathogenetic relationship between systemic inflammation and the immune system with a bile peritonitis, complicated abdominal sepsis //Вестник науки и образования. – 2021. – №. 5-1 (108). – С. 81-86.
Abduraxmanov D.Sh. et al. Modern views on the pathogenetic relationship between systemic inflammation and the immune system with a bile peritonitis, complicated abdominal sepsis //Вестник науки и образования. – 2021. – №. 5-1 (108). – С. 81-86.
Abduraxmanov D.Sh. et al. Modern views on the pathogenetic relationship between systemic inflammation and the immune system with a bile peritonitis, complicated abdominal sepsis //Вестник науки и образования. – 2021. – №. 5-1 (108). – С. 81-86.
Abduraxmanov D.Sh. et al. Surgical treatment of postoperative ventral hernia //Збірник наукових праць ΛΌГOΣ. – 2021. С. 55-57.
Davlatov S.S. et al. Current State of The Problem Treatment of Mirizzi Syndrome (Literature Review) //International Journal of Pharmaceutical Research. – 2020. – Т. 12. – С. 1931-1939.
Rakhmanov K. E., Davlatov S. S., Abduraxmanov D. S. Correction of albendazole disease after echinococcectomy of the liver //International Journal of Pharmaceutical Research. – 2021. – Т. 13. – С. 4044-4049.
Shamsutdinov S.B., Abdurakhmanov D.Sh., Rakhmanov K.E. Repeated reconstructions of the digestive tract in the surgery of the operated stomach //Збірник наукових праць ΛΌГOΣ. – 2021. С. 49-50.
Мамараджабов, С. Э. Роль и место сероэпидемиологического обследования населения в ранней диагностике эхинококкоза в Самаркандской области / С. Э. Мамараджабов, Ж. А. Ризаев, С. Р. Баймаков // Актуальные аспекты медицинской деятельности : сборник статей I Международной научно-практической конференции, Киров - Самарканд, 21 июня 2021 года. – Киров: Федеральное государственное бюджетное образовательное учреждение высшего образования "Кировский государственный медицинский университет" Министерства здравоохранения Российской Федерации, 2021. – С. 209-212. – EDN DOETDC.
