Safety and efficiency of simultaneous laparoscopic surgery in treatment of gallstone disease and surgical comorbidity
DOI:
https://doi.org/10.11603/2414-4533.2019.1.9914Keywords:
surgery, cholecystectomy, gallstone disease, laparoscopy, simultaneous, stressAbstract
The aim of the work: to find out the influence on physical health of the simultaneous laparoscopic operations in postoperative category of patients
Materials and Methods. Statistic data of 411 patients with gallstone disease with surgical comorbidity was used. For performance evaluation precise indicators were used, such as operative duration, hemorrhage volume, glycaemia, aldosterone and cortisol levels, oxygen blood saturation, creatinine and hemoglobin levels. Also Lee and ARISCAT scales were used. Results were used to make a database in Microsoft Office Excel 2010. Description of quantitative attributes was made based on the Shapiro-Wilk criterion, with the definition of the arithmetic mean (M) and standard deviation (S). Man-Whitney criteria or the U-criterion was used to compare the groups. For a wide comparison, the ANOVA method was used. The critical level of significance p in all calculations was detemined as 0.05.
Results and Discussion. After data processing increasing of average operative time was noted: (42±6) min. in group I and (51±9) min in group II. Regular monitoring the carbohydrates level in patients sufficiently helped to prevent subjective discomfort and weakness. Glycemic level didn’t have much difference and did not require insulin correction. Criterion of development of arterial hypotension was determined as decrease of the middle blood pressure up to 30 % from the initial or below 80 mmHg in the systolic phase, or deviation of the ST segment on the ECG.
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