Разработан диагностический алгоритм для профи-лак-ти-ки “постлапаро-холе-цист-эк-томического синдрома”, основанный на всесто-роннем до- и послеопе-рационном исследовании органов брюшной полости для выявления и лечения сопутствующих заболеваний.
Ключевые слова: лапароскопическая холецистэктомия, отдалённые резуль-таты, постлапарохолецистэктомический синдром, дуоденогастральный рефлюкс.
Alboji T.A. Late results of laparoscopic cholecystectomy. – Manuscript.
Thesis for a candidate’s degree by specialty 14.01.03 – Surgery. – Kharkiv State Medical University, Kharkiv, 2001.
The thesis is devoted to questions of the clinical significance of laparoscopic cholecystectomy at treatment of cholelithyasis and its complications, based on the analysis of late results. It was established, what from 262 patients, that underwent laparoscopic cholecystectomy, excellent results had 123 and good – 58 (22,1 %), satisfactory – 59 (22,5%) and poor – 22 (8,4 %) of them. Satisfactory late results of laparoscopic cholecystectomy were caused, first of all, by chronic gastroduodenal motility disorders, and also their consequences as gastroduodenostasis and duodenoreflux with reflux-gastritis in 50,8 % of cases. More than at half of patients (59,1 %) the poor late results of laparoscopic cholecystectomy were caused by residual not correction pathology, and newly arisen after operation of bile ducts. Among the causes of syndrome after laparoscopic cholecystectomy 74,1 % were caused by organic and functional diseases, not connected with pathology of gall bladder and with its moving away; residual and postoperative pathology of extrahepatic bile ducts has made 16 %. The diagnostic algorithm for prophylaxis syndrome after laparoscopic cholecystectomy, based on all-round before and postoperative examination of abdominal organs for diagnostic and treatment of concomitant diseases was designed.
Keywords: laparoscopic cholecystectomy, late results, syndrome after laparoscopic cholecystectomy, duodenogastral reflux.