Registration Number
0204U003477,
0101U001867
, R & D reports
Title
Endoscopic methods of surgical treatment of gallstone diseases and its complications in patients of elderly and senile age
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Head
Klimenko Gennady Andreyevich,
Registration Date
26-03-2004
Organization
The Kharkiv Post-graduate Medical Academy
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The purpose of research: analysis and an estimation of results of laparoscopic cholecystectomy (LCE) and endoscopic papillosphincterotomy (EPST) in treatment of a gallstone disease and its complications in patients of elderly and senile age. Object of research in the basic group were 266 patients subjected to LCE, and out of which 21 of patients undergone EPST, in comparative group - 112 patients, operated by traditional surgical methods. During LCE failures, mistakes and complications were marked in 72 patients (27,1%), including intraoperative complications - in 11,2%, postoperative complications - in 31,4% of cases. In comparative group intraoperative complications were 4,5%, frequency of postoperative complications - 31,2%. EPST was successful in 57% of cases, unsuccessful - in 43%, with complications - in 33,3%. The conclusion is made, that specified laparoendoscopic methods of a gallstone disease treatment in elderly and senile age patients are preferable in comparison with traditional, but, despite of their positive estimations, they are not deprived of it dangers and complications.
Product Description
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2020-04-03
