ЯРАЛИ КОЛИТНИ ЖАРРОҲЛИК УСУЛИДА ДАВОЛАШ (АДАБИЁТЛАР ШАРҲИ)
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носпесифик яроли колит, жарроҳлик, лапароскопия##article.abstract##
Ушбу мақолада колоректал жарроҳликда миниинвазив технологияларнинг ривожланиши ва ярим аср давомида уларнинг ярим аср давомида яратилган замонавий ёндашувлари, хусусан, ярали колитни (ЯК) жарроҳлик йўли билан даволашдаги ўрни кенг таҳлил қилинади. Jacobs ва ҳаммуаллифлар томонидан 1990 йилда бажарилган биринчи лапароскопик-ассистенсияли гемиколектомиядан бошлаб видеоэндоскопик техникаларнинг сезиларли тараққиёти қайд этилади. Шу билан бирга, тактил сезгининг йўқлиги, уч ўлчамли фазовий кўришнинг йўқолиши, семизлик, илгари қилинган жарроҳликлар ва тарқалган шишларда техник мураккабликлар каби чекловлар ҳам таъкидланади. HALS техникасининг жорий этилиши интраоперацион назоратни яхшилаб, конверсия эҳтиёжини камайтириб ва операция вақтини қисқартириб миниинвазив имкониятларни кенгайтиради. Мақолада замонавий миниинвазив ёндашувлар — тўлиқ лапароскопик IPAA, трансанал IPAA (ta-IPAA), робот-ассистенсияли техникалар ва уларнинг афзалликлари ёритилган. Адабиётлар натижалари туғруқдан кейинги унумдорликнинг яхшиланиши, функционал кўрсаткичларнинг яхшиланиши, камроқ спайкалар ривожланиши ва пастроқ асоратлар билан боғлиқ. Хулоса сифатида ЁКни оптимал жарроҳлик билан даволаш беморларни эҳтиёткорлик билан саралаш, периоператсион даврни яхшилаш ва инновацион технологияларни жарроҳлик мезонларига қатъий амал қилган ҳолда интеграция қилишни талаб қилади.
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