[Laparoscopic surgeries in acute cholecystitis].
Results of 2035 laparoscopic cholecystectomies for acute cholecystitis and its complications were analyzed. Indications and contraindications are clarified. Some technical features made the procedure easier in perivesical infiltration and adhesive process in the upper abdominal cavity. Efficacy and safety of intrasurgical cholangiography are validated. Method of drainage of the common hepatic duct by Holsted-Pikovsky was used. Surgical algorithm adjusted to pathological changes of extrahepatic bile ducts revealed during intrasurgical cholangiography was developed that permits to apply widely mini-invasive technologies.
Cherkasov
M F
MF
Gosudarstvennyĭ meditsinskiĭ universitet, Gorodskaia bol'nitsa skoroĭ meditsinskoĭ pomoshchi #2, Rostov-na-Donu.
Sitnikov
V N
VN
Mitiurin
M S
MS
Turbin
M V
MV
Chinenaia
L V
LV
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000465:Algorithms; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic; D002764:Cholecystitis / Q000000981:diagnostic imaging / Q000601:surgery*; D000075202:Contraindications; D004322:Drainage; D005260:Female; D006500:Hepatic Duct, Common; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D016896:Treatment Outcome