47 -1 (39) 2022 — Urakov Sh. T., Saidov I. K. — ESTIMATION OF THE EFFECTIVENESS OF LAPAROSCOPIC CHOLETISTEKTOMIA IN THE TREATMENT OF ACUTE CALCULAR CHOLECYSTITIS WITH LIVER CYRROSIS

ESTIMATION OF THE EFFECTIVENESS OF LAPAROSCOPIC CHOLETISTEKTOMIA IN THE TREATMENT OF ACUTE CALCULAR CHOLECYSTITIS WITH LIVER CYRROSIS

Urakov Sh. T., Bukhara State Medical Institute named after Abu Ali ibn Sino.

Saidov I. K. Bukhara branch of the Republican Scientific Center for emergency medical care.

Resume

Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. 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. In Group A, it was found that laparoscopic or conventional open cholecystectomy at the stage of cirrhosis is very safe and the risk of complications can be compared with the risk in patients without cirrhosis of the liver. Emergency surgical interventions in patients with cirrhosis of the liver in Groups B and C are associated with an increased risk of complications and death after surgery.

Key words: Minimally invasive methods of surgery, evaluation of the effectiveness of laparoscopic cholecystectomy, treatment of acute calculous cholecystitis with cirrhosis of the liver.

First page

245

Last page

248

For citation: Urakov Sh. T., Saidov I. K. ESTIMATION OF THE EFFECTIVENESS OF LAPAROSCOPIC CHOLETISTEKTOMIA IN THE TREATMENT OF ACUTE CALCULAR CHOLECYSTITIS WITH LIVER CYRROSIS //New Day in Medicine 1(39)2022 245-248 https://cutt.ly/oO704oZ

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