Diagnostics and treatment of intraoperative and early postoperative complications in laparoscopic cholecystectomy for cholelithiasis
The analysis of laparoscopic cholecystectomy in Khmelnytsky region between 1994 and 2015 has done. The first laparoscopic cholecystectomy performed in 1994. During this period, 14,344 were performed laparoscopic cholecystectomy. Acute cholecystitis was operated 2308 (16 %) and patients with chronic cholecystitis - 12036 (84 %). The aim of investigation was to determine the optimal timing of laparoscopic cholecystectomy, analysis, prediction and prevention of intra- and early postoperative complications. The results of the analysis have enabled us to choose the right timing of laparoscopic cholecystectomy in acute cholecystitis, amounting to 24-48 hours of onset. Early laparoscopic cholecystectomy reduces the number of conversions and the patient's stay in hospital. Proper execution of the laparoscopic surgery is the prevention of intraoperative complications. Diagnosis of complications of laparoscopic cholecystectomy necessarily requires intraoperative or postoperative cholangiography with subsequent conduct reconstructive surgery. Terms treat these patients significantly increased.