[Mini-invasive ways of cholecystectomy for acute cholecystitis in aged patients].
Analysis of radical surgical treatment results by means of laparoscopic cholecystectomy and cholecystectomy from modified mini-access in 203 patients from senior age group with acute cholecystitis is presented. Using experimental studies optimal localization of mini-access on the anterior abdominal cavity was proved. Taking into account the dynamics of stress hormones (prolactin and cortisol) level at mini-invasive radical operations it is proved that pneumoperitoneum is one of the most significant intraoperative aggressive factors. Priority indications for cholecystectomy from mini-access in case of acute cholecystitis are defined. Technical facilities of this treatment mode are shown.
Baranov
G A
GA
Reshetnikov
E A
EA
Kharlamov
B V
BV
D000208:Acute Disease; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D002764:Cholecystitis / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*