OPTIMIZATION OF COMPREHENSIVE SURGICAL TREATMENT OF ACUTE PURULENT CHOLANGITIS USING HYBRID MINIMALLY INVASIVE TECHNOLOGIES
Keywords:
acute purulent cholangitis, hybrid interventions, endoscopy, laparoscopy, cholangiostomy, surgical treatmentAbstract
The aim of the study was to evaluate the effectiveness of hybrid surgical interventions in the treatment of acute purulent cholangitis (APC) and their impact on disease outcomes.
Materials and methods. A retrospective analysis of 78 patients with APC who underwent hybrid surgical interventions in the surgical department of the Samarkand branch of the Republican Center for Emergency Medical Care from 2018 to 2023 was conducted.
Study results. Hybrid techniques have shown high clinical efficacy, providing rapid relief of the inflammatory process, reducing the incidence of postoperative complications and shortening the duration of hospitalization. Minimal mortality was noted in the group of patients who underwent combined endoscopic and laparoscopic treatment.
Conclusion. Hybrid surgical approaches are a promising direction in the treatment of acute purulent cholangitis, allowing for individualization of treatment tactics, minimization of surgical trauma and improvement of clinical outcomes. Their use is recommended for widespread clinical practice in specialized surgical centers.
References
Bekbauov S.A., Glebov K.G., Kotovsky A.E. Endoscopic drainage of bile ducts in the treatment of acute purulent cholangitis // Endoscopic surgery. 2012. Vol. 18, No. 2. P. 21–25.(In Russ)
Galperin E. I. et al. Pathogenesis and treatment of acute purulent cholangitis // Annals of surgical hepatology. - 2009. - Vol. 14. - No. 4. - P. 13-21.(In Russ)
Davlatov S. S. New method of body detoxification in the treatment of patients with purulent cholangitis // Journal MediAl. - 2013. - No. 3 (8). - P. 62-65. (In Russ)
Davlatov S. Purulent cholangitis: etiology, pathogenesis, classification, diagnostics and features of surgical tactics (literature review) // Journal of the Vestnik Vracheva. - 2012. - Vol. 1. - No. 3. - P. 45-51. (In Russ)
Osipov A.V. Differentiated surgical tactics for treating patients with acute cholangitis in a multidisciplinary hospital: diss. .. Cand. of Medicine. St. Petersburg, 2022. (In Russ)
Saveliev V.S., Petukhov V.A. New approaches to complex treatment of cholelithiasis // Annals of surgical hepatology. 2004. Vol. 9, No. 2. P. 240. (In Russ)
Saidmurodov K. B., Ibragimov Sh. U. Efficiency of stages of surgical interventions taking into account the severity of acute purulent cholangitis in adults // Science, education and culture. - 2021. - No. 2 (57). - P. 27-30. (In Russ)
Siplivey V.A., Evtushenko D.V., Petrenko G.D., Andreeshev S.A., Evtushenko A.V. Surgical treatment of acute cholangitis in choledocholithiasis // Clinical surgery. 2016. No. 1. P. 34–37. (In Russ)
Normamatov B. P., Saydullaev Z. Ya. Hybrid technologies and extracorporeal methods of sorption detoxification (Literature Review) // Issues of Science and Education. - 2022. - No. 6 (162). - P. 76-83. (In Russ)
Normamatov B. P. et al. Innovative approach to the treatment of purulent cholangitis and cholemic endotoxicosis (Literature Review) // Sciences of Europe. - 2022. - No. 97. - P. 55-61. (In Russ)
Sattarov A.Kh. et all. Modern technologies in surgical treatment of acute calculous cholecystitis // Research Focus. - 2024. - V. 3. - No. 3. - P. 130-138. (In Russ)
Normatov B. P., Khamdamov I. B. Cholemic intoxication and liver failure in acute and chronic cholangitis (literature review) // Achievements of science and education. - 2022. - No. 4 (84). - P. 101-106. (In Russ)
