ХОЛЕЦИСТОХОЛЕДОХОЛИТИАЗ БИЛАН БЕМОРЛАРНИ ДАВОЛАШДА МОДИФИКАЦИЯЛАНГАН ЛАПАРОЭНДОСКОПИК ТЕХНИКАНИНГ САМАРАДОРЛИГИ
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ўт тош касаллиги, холедохолитиаз, холецистэктомия, холедохолитэкстракция, папиллосфинктеротомия, Rendezvous техникаси, лапароэндоскопик рандеву##article.abstract##
Мақолада ўт тош касаллигининг мураккаб шакллари, хусусан холедохолитиаз билан оғриган 107 беморни комплекс текшириш ва даволаш натижалари асосида клиник материаллар таҳлил қилинади. Холедохолитиазни стандарт икки босқичли ва такомиллаштирилган бир босқичли лапароэндоскопик тузатишни амалга оширишнинг қиёсий таҳлили ўтказилди. Қиёсий параметр сифатида жарроҳлик аралашувларнинг давомийлиги, касалхонада ётиш ва операция ва операциядан кейинги асоратлар қабул қилинди. Тадқиқотимиз натижаларига кўра шуни таъкидлаш керакки, холецистохоледохолитиаз билан оғриган беморларда эндоскопик папиллосфинктеротомия ва холедохолитоэкстракция ёрдамида ўзгартирилган бир вақтнинг ўзида Лапароскопик холецистектомия усулидан фойдаланиш жарроҳлик даволаш натижаларини яхшилайди ва иқтисодий жиҳатдан мақсадга мувофиқдир, чунки бу бемор учун операциялар ва касалхонага ётиш куни сонини камайтиради.
Библиографические ссылки
Abramova A. G. The importance of minimally invasive methods in the treatment of complicated forms of cholelithiasis: dis. – Yaroslavl State Medical University of the Ministry of Health of Russia, 2017 (in Russ).
Mukhiddinov B.X., Kurbaniyazov Z.B., Askarov P.A. Modern approaches to surgical treatment of cholecystocholedocholithiasis // Biology and medicine. 6 (150), 459-465 (in Russ).
Teremov S. A., Mukhin A. S. Experience of surgical treatment of patients with complicated forms of gallstone disease //Bulletin of Experimental and Clinical Surgery. – 2013. – vol. 6. – No. 3. – pp. 399-404 (in Russ).
Kurbaniyazov Z. B., Askarov P. A. analysis of the results of surgical treatment of patients with damage to the thoracic bile ducts //achievements of clinical and Experimental Medicine. – 2018. – №. 1. - p.94-100 (in Russ).
Sotnichenko B. A., Makarov V. I., Savintseva N. V. Endovideosurgical treatment of patients with complicated forms of acute cholecystitis //Annals of surgical hepatology. – 2007. – vol. 12. – No. 2. – pp. 75-78 (in Russ).
Khodjimatov G. M. et al. Comparative assessment of surgical methods of treatment of patients with acute calculous cholecystitis complicated by mechanical jaundice //Lymphology: from basic research to medical technologies. – 2016. – pp. 250-252 (in Russ).
Lupaltsov V. I. et al. Modern aspects of surgical tactics in the treatment of patients with cholelithiasis complicated by mechanical jaundice //Orenburg Medical Bulletin. – 2016. – Vol. 4. – №. 3 (15). – Pp. 51-53 (in Russ).
Repin V. N. et al. Two-stage endoscopic operations in complicated cholelithiasis //Medical Almanac. – 2008. – No. 1. – pp. 54-55 (in Russ).
Kurbaniyazov Z. B. et al. The effectiveness of using minimally invasive methods of surgical treatment of patients with acute destructive cholecystitis //Academic Journal of Western Siberia. – 2013. – vol. 9. – No. 4. – pp. 56-57 (in Russ).
Kurbaniyazov Z. B., Arziev I. A., Askarov P. A. Improvement of surgical tactics in correction of bile discharge after cholecystectomy using minimally invasive technologies //Bulletin of Science and Education. – 2020. – №. 13-3 (91). – Pp. 70-74 (in Russ).
Akbarov M. M. et al. Transplantology: a requirement of the time or the next evolutionary step of high-tech surgery? //journal of education and scientific medicine. – 2022. – №. 1. – С. 15-23.
Sahoo M.R., Kumar A.T., Patnaik A. Randomised study on single stage laparo‐endoscopic rendezvous (intra‐operative ERCP) procedure versus two stage approach (pre‐operative ERCP followed by laparoscopic cholecystectomy) for the management of cholelithiasis with choledocholithiasis. Journal of Minimal Access Surgery, 2014, № 10, рр. 139–143. https:// doi.org/ 10.4103/0972-9941.134877
Sahu D., Mathew M.J., Reddy P.K. Outcome in Patients Undergoing Laparoscopic Cholecystectomy Following ERCP; Does Timing of Surgery Really Matter? J Minim Invasive Surg Sci., 2015, № 4, e25226.
Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos) / Yokoe M., Hata J., Takada T. [et al.] // J Hepatobiliary Pancreat Sci. - 2018. - Vol. 25 (1). - P. 41-54. - Doi: 10.1002/jhbp.515.
Tursunov O. M. et al. Interventional percutaneous technologies in the treatment of patients with obstructive jaundice syndrome // Journal of Biomedicine and Practice. – 2022. – T. 7. – No. 1