Comparative assessment of imaging in the performance of simultaneous Laparoscopic treatment of gallstone disease and hiatal hernia
DOI:
https://doi.org/10.11603/2414-4533.2021.2.12305Keywords:
gallstone disease, hiatal hernia, simultaneous surgery, laparoscopyAbstract
The aim of the work: to determine and evaluate the visualization in the performance of conventional laparoscopic operations and simultaneous laparoscopic operations for the treatment of gallstone disease and hiatal hernia; identify the advantages and disadvantages of methods; assess the impact of the choice of laparoscopic techniques on ergonomics during surgery.
Materials and Methods. 156 patients were treated in Volynian Regional Clinical Hospital
Laparoscopic Surgery Unit during the period from 2013 to 2019, who underwent laparoscopic crurography with Toupet fundoplication and simultaneous laparoscopic cholecystectomy using our own developed technique. Comparison with the results of treatment of gallstone disease using the “French” method. The method with the null hypothesis, Pearson, Tukey, Mann-Whitney analysis were used.
Results and Discussion. The difference between the ports for asthenic and hypersthenic physiques was 4.4 cm and 3.0 cm, visualization area was (12.44±4.01) and (9.54±2.27) cm2 (which is statistically significant (p = 0.715 )), the angle between the instruments was (62.31±7.35) o and (57.29±6.764) o, the distance between the laparoscope and the object of operation was (3.54±0.47) cm and (3.41±0.478) cm for the studied and control groups, respectively. Simultaneous laparoscopic intervention did not impairs visualization and increases comfort during simultaneous surgery compared to French cholecystectomy. The use of the developed simultaneous technique did not worsed the postoperative consequences. The technique developed on the basis of Volynian Regional Clinical Hospital Laparoscopic Surgery Unit is rather effective and suitable for use.
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