Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver.

Authors

  • S. D. Khimich
  • F. T. Muraviov
  • N. G. Rudkovska

DOI:

https://doi.org/10.26641/2307-0404.2018.4(part1).145709

Keywords:

cholelithiasis, cholecystectomy, cirrhosis of the liver

Abstract

In the work the analysis of the results of the treatment of 168 patients with complicated cholelithiasis, depending on presence or absence of cirrhosis of the liver has been carried out. In 76 (45.23%) patients, cholelithiasis and concomitant cirrhosis of the liver were complicated, in 92 (54.77%) - complicated cholelithiasis without cirrhosis of the liver. The stage of liver cirrhosis was assessed by the Child-Pugh system. It has been established that cholecystectomy with laparoscopic or traditional open-release in the stage of Child A cirrhosis is quite safe, and the risk of development of complications can be compared with the risk in patients without liver cirrhosis. Urgent surgical interventions in patients with cirrhosis of the liver in the stage of Child B and Child C are associated with an increased risk of development of intra- and postoperative complications and mortality.

 

Author Biographies

S. D. Khimich

National Pirogov Memorial Medical University, Vinnytsya
Pirogov str., 56, Vinnytsya, 21018, Ukraine

F. T. Muraviov

Zhytomyr Regional Clinical Hospital named after O.F. Herbachevskyi
Center for Minimally Invasive Surgery
Krasnogo Kresta str., 3, Zhytomyr

N. G. Rudkovska

Zhytomyr Regional Clinical Hospital named after O.F. Herbachevskyi
Center for Minimally Invasive Surgery
Krasnogo Kresta str., 3, Zhytomyr

Published

2019-10-16

How to Cite

1.
Khimich SD, Muraviov FT, Rudkovska NG. Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. Med. perspekt. [Internet]. 2019Oct.16 [cited 2024Nov.24];23(4(part1). Available from: https://journals.uran.ua/index.php/2307-0404/article/view/145709

Issue

Vol. 23 No. 4(part1) (2018)

Section

CLINICAL MEDICINE

License

Copyright (c) 2019 Medicni perspektivi (Medical perspectives)

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