84 -8 (70) 2024 - Rafikov B.R., Аskarov P.А. - SELECTION OF PATIENTS FOR ONE-STAGE LAPAROSCOPIC TREATMENT BASED ON A COMPREHENSIVE ASSESSMENT OF THE SEVERITY OF THE CONDITION OF PATIENTS WITH CHOLECYSTOCHOLIDOCHOLITHIASIS

SELECTION OF PATIENTS FOR ONE-STAGE LAPAROSCOPIC TREATMENT BASED ON A COMPREHENSIVE ASSESSMENT OF THE SEVERITY OF THE CONDITION OF PATIENTS WITH CHOLECYSTOCHOLIDOCHOLITHIASIS COMPLICATED BY MECHANICAL JAUNDICE

Rafikov B.R. - Federal State Budgetary Institution "All-Russian Center for Emergency and Radiation Medicine named after A.M. Nikiforov" Ministry of Emergency Situations of Russia

Аskarov P.А. - Samarkand State Medical University

Dvoryankin D.V. - Federal State Budgetary Institution "All-Russian Center for Emergency and Radiation Medicine named after A.M. Nikiforov" Ministry of Emergency Situations of Russia

Kochetkov А.V. - Federal State Budgetary Institution "All-Russian Center for Emergency and Radiation Medicine named after A.M. Nikiforov" Ministry of Emergency Situations of Russia

Resume

Laparoscopic cholecystectomy (LCE) in combination with endoscopic retrograde cholangiopancreatography, papillosphincterotomy and lithoextraction (LCE+ERCP) or laparoscopic choledocholithotomy (LCE+LHLT) are the most common single-stage combined surgical methods for the treatment of cholecystocholedocholithiasis (XXL). A retrospective analysis of the results of treatment of patients up to 2018 (control group) and from 2018 (main group), using the ASA-PS, Charlson Comorbidity Index (CCI) scales), as well as the classification of the severity of chronic jaundice (E.I. Halperin from 2012, hereinafter the Halperin index) for a comprehensive assessment of the severity of the condition of patients. The total length of hospital stay in the main group decreased, in patients who underwent LHE+ERCP by 4.0± 1.0 bed days, in patients who underwent LHE+LHLT by 3.5± 1.2 bed days. The total number of thromboembolic complications in the main group was 4.1%, which is less than in the control group (16.6%). Stroke and myocardial infarction were suffered by patients from the control group in 1 case, which amounted to 5.5% and 5.5%, respectively. In the control group, pneumonia was noted in 2 (11.1%) patients, in the main group in 1 (4.1%) patient. The mortality rate in the control group was 5.5%, and there were no deaths in the main group.

Key words: Choledocholithiasis, mechanical jaundice; laparoscopic cholecystectomy, laparoscopic choledocholithotomy, Halperin index, Charlson Comorbidity Index (CCI).

First page

466

Last page

470

For citation:Rafikov B.R., Аskarov P.А., Dvoryankin D.V., Kochetkov А.V. - SELECTION OF PATIENTS FOR ONE-STAGE LAPAROSCOPIC TREATMENT BASED ON A COMPREHENSIVE ASSESSMENT OF THE SEVERITY OF THE CONDITION OF PATIENTS WITH CHOLECYSTOCHOLIDOCHOLITHIASIS COMPLICATED BY MECHANICAL JAUNDICE //New Day in Medicine 8(70)2024 466-470 https://newdayworldmedicine.com/en/new_day_medicine/8-70-2024

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