Монголын анагаах ухаан, 2015, 1(171)
Цөсний хүүдийн цочмог үрэвслийн үед цөсний хүүдийг дурангаар авах асуудалд
( Судалгааны өгүүлэл )
1“Ач” Анагаах ухааны дээд сургууль, 2Улсын гуравдугаар төв эмнэлэг, 3Ховд аймгийн мэс заслын тасаг
Абстракт
Background
Acute inflamed process in gallbladder stand no more in the list of contraindication for its laparoscopic removal, although specifity of operational technics need to be elaborated in details.
Purpose
The purpose of the study to determine feasibility and specifity of laparoscopic cholecystectomy.
Methods and Materials
Based on standard instructions three holes were punched on the front wall of the abdominal cavity for insertion of fibroscopic instrument, Olympus-2008, Model-Uni 3, input-120/240V, 50/60Hz, 150VA. Patient selection included 108 individuals hospitalized during 2009-2013 in the department of urgent surgery, III Shastin Clinical Hospital.
Results
Average ages of the patients were 38. Clinical diagnosis based on signs and symptoms revealed at the physical examination confirmed by echosonographic investigation for final diagnosis. Specificity of surgical technics were incision and infusion of large amount of antibiotic solution into the inflamed gallbladder at the inoculation; use blunt edge for inoculation of the duct and artery of gallbladder; switching to open surgery in case of revealed massive enzymatic infiltration and adhesive scars.
Conclusion
Laparoscopic cholecystoectomy is feasibility operative procedure having advantages and disadvantages, requiring necessary preventive measures of the complications.
Key words: Laparoscopic cholecystoectomes, surgical treatment
Pp. 13-15, References 7
Нийтлэлийн нээгдсэн тоо: 22
