COMPARATIVE ANALYSIS OF IMMEDIATE RESULTS OF LAPAROSCOPIC AND LAPAROTOMIC OF CHOLEDOCHOLITHOTOMY

Abstract

Purpose: Improve treatment outcomes in patients with cholelithiasis complicated by choledochal-tiasa, through the introduction and improvement of the videoendoscopic technology. Materials and methods: 97 patients with cholelithiasis complicated by choledocholithiasis and/or stenosing duodenal papillitis is divided into two homogeneous groups. In the main group (n=47) of the patients operated using laparoscopy, in control (n=50) - laparotomy. Results: the Average duration of surgery in both groups were not significantly different. The level of postoperative pain in patients of the main group was significantly lower than the comparison group. Light postoperative complications observed were given in 17 cases of the main group (36.2%) and in 24 patients in the control group (48.0 per cent). In 1 patient of the main group diagnosed subhepatic abscess, developed shenny by drainage under ULTRASOUND control. 3 patients of the control group, postoperative wound suppuration. In each of the groups, there was 1 case of insolvency of choledochojejunoanastomosis. Conclusions: Laparoscopic access has no effect on the duration of operation of the radio and can significantly reduce the intensity of postoperative pain. Often, the early postoperative complications after laparoscopic choledocholithotomy-MII does not exceed the frequency of complications after choledocholithotomy performed laparoscopy-volume access.