KEKSA YOSHDA O‘TKIR XOLETSISTIT: KLINIK KECHISH XUSUSIYATLARI, TASHHIS QO‘YISH VA DAVOLASH
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Xoletsistit, laparoskopik xoletsistektomiya, laparotomiyali xoletsistektomiya, asoratlari, kasalxonaga yotqizish, tiklanish, konversiya, jarrohlik davolash, operatsiyadan keyingi davr, qiyosiy tahlil##article.abstract##
Tadqiqotda o'tkir va surunkali xoletsistit bilan og'rigan bemorlarda laparoskopik va laparotomiyali xoletsistektomiyaning qiyosiy tahlili o'tkazildi. Laparoskopik xoletsistektomiya bir qancha afzalliklarga ega ekanligi aniqlandi: operatsiya muddati qisqarishi (40,2 ± 7,5 minutga nisbatan 65,8 ± 11,7 minut), kasalxonada qolishning qisqarishi (8,4 ± 2,1 kunga nisbatan 3,7 ± 1,2 kun) va tezroq tiklanish (2-3 haftaga nisbatan 4-6 hafta). Postkoletsistektomiya sindromini o'z ichiga olgan kech asoratlar darajasi laparoskopiya guruhida pastroq (5,1% ga nisbatan 12,8%) va konversiya darajasi 5,1% ni tashkil etdi. Laparotomiya xoletsistektomiyasi murakkab klinik holatlarda, masalan, o't yo'llarining og'ir yallig'lanishi va anatomik xususiyatlarida muhim usul bo'lib qolmoqda. Ushbu tadqiqotlar laparoskopik xoletsistektomiyaning yuqori samaradorligi va xavfsizligini tasdiqlaydi, hatto xoletsistitning murakkab shakllarida ham qo'llanilishini kengaytirish zarurligini ta'kidlaydi.
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