84 -11 (61) 2023 — Khamdamovа М.Т., Ismailov U.S. — SOME REASONS POSTCHOLECYSTECTOMY SYNDROME

SOME REASONS POSTCHOLECYSTECTOMY SYNDROME

Khamdamovа М.Т., Bukhara State Medical Institute named after Abu Ali ibn Sina, Urgench branch of the Tashkent Medical Academy Uzbekistan

Ismailov U.S., Bukhara State Medical Institute named after Abu Ali ibn Sina, Urgench branch of the Tashkent Medical Academy Uzbekistan

Yangibaev O.Z. Bukhara State Medical Institute named after Abu Ali ibn Sina, Urgench branch of the Tashkent Medical Academy Uzbekistan

Resume
Тoday calculous cholecystitis is successfully diagnosed and is treated by laparoscopic
cholecystectomy (LCHEC) in up to 95-98,7% of cases. But, according to numerous reports, this is not
always the case, especially in the long term after surgery Due to the development of recurrent CLT It
should be especially emphasized that despite usually performing LCHEC only for uncomplicated
(UC) CCLT.
Without even mentioning such a high percentage of the so-called controversial concept as “post
cholecystectomy syndrome” (PCHECS), occurring in up to 51.3% or more cases, Which force
patients to continue treatment after surgery, even sometimes they undergo re-operation, mainly for
сholedochlitiases (CDL) and especially stenosis of the papilla vatere (SPV). This means that there are
still some problems in the treating CCLT
In the article, based on the study and clarification of some mechanisms of the formation of
gallstones and their migration, taking into account the anatomical data of the bile ducts, the opinion
is expressed that at the beginning of the disease, cholelithiasis, as well as relapse of the disease after
removal of stones in various ways, are stagnation of bile, which served as the onset of the disease
cholelithiasis and also the cause of relapse of the pathology.
Keywords: calculous cholecystitis, сholedochlitiases, postcholecystectomy syndrome
papillosphincterotomy, papillosphincteroplasty, choledochoduodenoanastomosis.

First page

513

Last page

518

For citation: Khamdamovа М.Т., Ismailov U.S., Yangibaev O.Z. – SOME REASONS POSTCHOLECYSTECTOMY SYNDROME //New Day in Medicine 2023 11(61): 513-518 https://newdaymedicine.com/index.php/2023/12/24/l-662/

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