РЕЗУЛЬТАТЫ ЛАПАРОСКОПИЧЕСКОЙ ХОЛЕЦИСТЭКТОМИИ ПРИ ОСТРОМ ХОЛЕЦИСТИТЕ У ЛИЦ ПОЖИЛОГО И СТАРЧЕСКОГО ВОЗРАСТА С УЧЕТОМ ФАКТОРОВ РИСКА ИШЕМИЧЕСКОЙ БОЛЕЗНИ СЕРДЦА

Лексо Зурабович Гурцкая; Николай Юрьевич Коханенко; Владимирович Станиславович Василенко

Лексо Зурабович Гурцкая Saint-Petersburg State Pediatric Medical University, 194100, Saint-Petersburg, Litovskaya str., 2
Николай Юрьевич Коханенко Saint-Petersburg State Pediatric Medical University, 194100, Saint-Petersburg, Litovskaya str., 2
Владимирович Станиславович Василенко Saint-Petersburg State Pediatric Medical University, 194100, Saint-Petersburg, Litovskaya str., 2

Keywords: acute cholecystitis, acute myocardial infarction, laparoscopic cholecystectomy, hypertension, cholecystostomy

Abstract

The article presents specific features of t reatment of acute cholecystitis in patients
with high operational risk based оn materials of 130 operations (laparoscopic cholecystectomy), of
which 60 patients were operated on by conventional methods, and 70 — by the proposed method.
The features of surgical treatment of acute cholecystitis in patients with high operational risk are
presented. The main diseases of the cardiovascular system that significantly affect the prognosis of
acute cholecystitis are identified. The criteria of risk factors in coronary heart disease are described
in details. Application of the developed technique of laparoscopic cholecystectomy in this category
of patients allowed to reduce the number of complications from 13.3 % to 5.7 %, mortality from
10.0% to 4.3 %.

Author Biography

Лексо Зурабович Гурцкая, Saint-Petersburg State Pediatric Medical University, 194100, Saint-Petersburg, Litovskaya str., 2

Lekso Z . G urtskaya — surgeon, postgraduate student of the Department of surgery named after
Professor A . A . Rusanov.

THE RESULTS OF LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE CHOLECYSTITIS IN ELDERLY AND SENILE AGE TAKING INTO ACCOUNT RISK FACTORS OF CORONARY HEART DISEASE

Abstract

Author Biography