ANALYSIS OF COMPLICATIONS WITH LAPAROSCOPIC CHOLECYSTECTOMY (CLINICAL EXPERIENCE FOR 10 YEARS)

Abstract

The results of treatment of 5166 patients, on calculous cholecystitis, who had undergone laparoscopic cholecystectomy (LXE) from 2009 till 2019 and were in one medical institution, were analyzed. It was established that complications in the performance of LXE occurred in 136 patients and required conversion. Bleeding occurred in 23 patients with acute calculous cholecystitis (GCS) and 1 patient with chronic calculous cholecystitis (0.46%). As a rule, due to the rapid development of the situation, it was not possible to stop the bleeding. The conversion allowed to stop the bleeding by flashing the blood vessels. The destruction of the wall of the gallbladder, which occurred in 4 patients with GCS (0.08 %), prevented any manipulation of the conversion and cholecystectomy. Self-amputation of the bladder duct took place in inflammatory infiltration with GCS in 3 patients (0.06 %). Conversion and cholecystectomy. In the defect of the common bile duct drained Kerah, sealed with seamy sutures. Inflammatory infiltrates occurred in 79 patients with GKH (1.53 %). As in most cases in inflammatory infiltrates it is not possible to verify the structure of the conversion and cholecystectomy. In the case of bile duct lesions, the following options were used to solve this problem. So in two patients with GCS when the infiltration is divided, a common bile duct is crossed. There is a hepatocyanoanmostomy in Ru on a sheltered drainage, and in two patients with GCS in such a situation, hepatocytes-duodenal ulcer is an end-to-side anastomosis in a sheltered drainage. The experience of the occurrence of various complications in the performance of LHE is generalized. They led to the solution of extremely difficult and complicated problems in the future, and the sequence of use of diagnostic techniques was not the same for all patients. A scrupulous analysis of the mistakes made is made. Effectiveness of the use of various methods of treatment at any given complications has been investigated.