Comparative evaluation of the effectiveness of one-stage laparoscopic treatment of gallstone disease and associated surgical pathology
DOI:
https://doi.org/10.11603/2414-4533.2019.1.9911Keywords:
surgery, cholecystectomy, gallstone disease, laparoscopy, simultaneous interventionsAbstract
The aim of the work: to find out the most effective visualization technique for performing laparoscopic surgical treatment of gallstone disease and collateral surgical pathology
Materials and methods. A retrospective analysis of 411 patients with gallstone disease and collateral surgical pathology. For processing the statistic data zero hypothesis was used. For comparing visualization zone was measured. French and proper methods of performing cholecystectomy were compared.
Results and Discussion. According to research results middle marginal definition of visualization area in proper method of performing simultaneous operations was (15.24±3.76)cm2 , which is more on 62.6 % in compared French method – (9.54±2.27) cm2 (р=0.715).
If 0 о laparoscope was used, approximation distance was (3.81±0.52) cm in proper method, which is more on 10.5 % comparing to the same index in French method (3.41±0.478) cm (р=0.295). If 30 о laparoscope was used, approximation distance was (3.64±0.36) cm in proper method, which is more on 9.12 % comparing to the same index in French method – (3.34±0.728) cm (р<0.001).
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