title: [Characteristics of hemodynamic reactions during various endoscopic surgeries for cholelithiasis in patients with concurrent cardiovascular pathologies].
abstract: A prospective study of 170 patients with concurrent cardiac pathology, who had underwent the laparoscopic cholecystectomy under the conditions of a tense carboxyperitomium, led to isolating two groups of patients with high-risk of intra- and postoperative unfavorable cardiac-vascular responses: an original high risk degree (III-IV classes according to ASA), a high value of cardiac risk indices according to Goldman (III-IV classes) and according to Detsky (II-III classes), a hypodynamic blood circulation regimen under rest conditions, and ejection fraction (according to echocardiography) amounting below 50%. Such patients are recommended to be operated on by laparolifting or by low-gas laparoscopy with a local lifting, i.e. by using the surgical techniques free of any negative effects produced on the carboxyperitomium hemodynamics, while all positive features of small-invasion surgery remain intact.
authors.forename: A A
authors.initials: AA
authors.lastname: Andreenko
authors.forename: Iu S
authors.initials: IuS
authors.lastname: Polushin
authors.forename: V I
authors.initials: VI
authors.lastname: Pereloma
authors.forename: D M
authors.initials: DM
authors.lastname: Shirokov
authors.forename: S B
authors.initials: SB
authors.lastname: Singaevskiĭ
authors.forename: A P
authors.initials: AP
authors.lastname: Prishvin
mesh_terms: D002318:Cardiovascular Diseases / Q000150:complications / Q000503:physiopathology*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002769:Cholelithiasis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D004452:Echocardiography; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D016343:Monitoring, Intraoperative