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Central Asian Journal of Medicine

Abstract

Clinical diagnosis of intra-abdominal complications after emergency biliary operations is often difficult. This is because intensive therapy carried out in the postoperative period often significantly changes the picture of a developing or developed complication obscures acute phenomena, erases the signs of a septic process in the abdominal cavity. At the same time, an increase in the number and expansion of the range of surgical interventions in emergency biliary surgery leads to a steady increase in the frequency of postoperative intra-abdominal complications.

First Page

109

Last Page

120

References

1. Akilov KH.A., Saatov R.R., Akbarov M.M. i dr. Endoskopicheskaya tekhnologiya pri yatrogennykh povrezhdeniyakh vnepechenochnykh zhelchnykh putey i naruzhnykh zhelchnykh svishchakh // 13-y Mezhdunarodnyy kongress khirurgov-gepatologov stran SNG // Annaly khir. gepatol. – 2006. – T. 11, №3. – S. 63. 2. Alidzhanov F.B., Baymuradov SH.E., Khozhiboyev A.M. i dr. Taktika lecheniya destruktivnykh form kholetsistita s primeneniyem maloinvazivnykh tekhnologiy // Aktual'nyye problemy organizatsii ekstrennoy meditsinskoy pomoshchi: Tez. dokl. – Urgench, 2006. – S. 74-75. 3. Altyyev B.K. Diagnostika i lecheniye povrezhdeniy, posttravmaticheskikh striktur i naruzhnykh svishchey zhelchnykh protokov: Dis. ... d-ra med. nauk. – Tashkent, 1999. 4. Altyyev B.K., Khozhibayev A.M., Atadzhanov SH.K., Khakimov B.B. Miniinvazivnyye vmeshatel'stva pri zhelchnokamennoy bolezni, oslozhnennoy mekhanicheskoy zheltukhoy, u bol'nykh pozhilogo i starcheskogo vozrasta // Vestn. khir. gastroenterol. – 2008. – №1. – S. 29. 5. Altyyev B.K., Atadzhanov SH.K., Boynazarov I.KH. i dr. Vosstanovitel'nyye i rekonstruktivnyye operatsii pri povrezhdeniyakh i rubtsovykh strikturakh zhelchnykh protokov // 13-y Mezhdunarodnyy kongress khirurgov-gepatologov stran SNG // Annaly khir. gepatol. – 2006. – T. 11, №3. – S. 64. 6. Artem'yeva N.N., Kokhanenko N.YU. Lecheniye yatrogennykh povrezhdeniy zhelchnykh protokov pri laparoskopicheskoy kholetsistektomii // Khirurgiya. – 2007. – №12. – S. 18-25. 7. Ashrafov R.A., Davydov M.I. Posleoperatsionnyy peritonit: diagnostika i khirurgicheskoye lecheniye // Vestn. khir. – 1999. – №5. – S. 115-118. 8. Babayev F.A. Diagnostika, lecheniye i profilaktika oslozhneniy posle operatsiy na zhelchnykh putyakh i podzheludochnoy zheleze: Avtoref. dis. ... d-ra med. nauk. – M., 2006. – 13 s. 9. Barsegyan A.A. Posleoperatsionnoye zhelcheistecheniye posle laparoskopicheskoy kholetsistektomii // Endoskop. khir. – 2000. – №6. – S. 49-51. 10. Beburishvili A.G., Zyubina Ye.N., Spiridonov Ye.G. i dr. Ul'trazvukovyye metody v diagnostike i lechenii posleoperatsionnykh intraabdominal'nykh i intraparenkhimatoznykh abstsessov pecheni // Materialy tret'yego mezhdunarodnogo kongressa khirurgov. – M., 2008. – S. 44. 11. Boyarintsev N.I. Povtornyye operativnyye vmeshatel'stva v ekstrennoy abdominal'noy khirurgii u lits pozhilogo i starcheskogo vozrasta: Avtoref. dis. ... d-ra med. nauk. – Khabarovsk, 2002. – 44 s. 12. Bryusov P.G., Yefimenko N.A. Posleoperatsionnyy peritonit – aktual'naya problema abdominal'noy khirurgii // Voyen.-med. zhurn. – 1998. – №9. – S. 25-29. 13. Butkevich A.TS., Bogdanov S.N., Brovkin A.Ye., Martynova YU.V.Posleoperatsionnyye oslozhneniya traditsionnykh i miniinvazivnykh operatsiy pri zhelchnokamennoy bolezni // Annaly khir. gepatol. – 2008. – T. 13, №3. – S. 215. 14. Vakkasov M.KH., Soliyev B.E., Iskhakov B.R. i dr. Videolaparoskopiya v lechenii posleoperatsionnykh oslozhneniy // Tez. dokl. 9-go mezhdunar. kongressa po endoskopicheskoy khirurgii. – M., 2005. – S. 63-64. 15. Vetshev P.S., Chilingaridi K.Ye., Ippolitov L.I., Shpachenko F.A.Kholetsistektomiya iz minidostupa v lechenii zhelchnokamennoy bolezni // Klin. med. – 2001. – №1. – S. 50-54. 16. Dadvani S.A., Vetshev P.S., Shulutko A.M., Prudkov M.I. Zhelchnokamennaya bolezn'. – M., 2000. – 257 s. 17. Daminova N.M., Kurbonov K.M., Khayotov A. Videolaparoskopicheskiye vmeshatel'stva v diagnostike i lechenii vnutribryushnykh oslozhneniy operativnykh vmeshatel'stv na pecheni i zhelchnykh putyakh // Vestn. khir. – 2009. – №1. – S. 80-83. 18. Yermolov A.S., Valetova V.V., Kobzeva Ye.N. i dr Apparatnaya reinfuziya krovi pri vnutribryushnykh krovotecheniyakh // Khirurgiya. – 2009. – №9. – S. 24-28. 19. Yeryukhin I.A., Petrov V.P., Khanevich M.D. Kishechnaya neprokhodimost'. – SPb, 1999. – 88 s. 20. Zhebrovskiy V.V. Ranniye i pozdniye posleoperatsionnyye oslozhneniya v khirurgii organov bryushnoy polosti. – Krasnodar: tsentr KGMU, 2000. – 687 s. 21. Zinets S.I. Prognozirovaniye, diagnostika i maloinvazivnoye khirurgicheskoye lecheniye posleoperatsionnykh intraabdominal'nykh oslozhneniy: Avtoref. dis. ... kand. med. nauk. – Perm', 2007. – 16 s. 22. Karabanov G.N. Ispol'zovaniye leykotsitarnoy formuly krovi dlya otsenki tyazhesti intoksikatsii // Vestn. khir. – 1999. – №4. – S. 146-148. 23. Karimov SH.I., Kim V.L., Khakimov M.SH.i dr. Maloinvazivnyye metody v lechenii ostrogo kholetsistita u bol'nykh s povyshennym operatsionnym riskom // Endoskop. khir. – 2003. – № 6. – S. 35-38. 24. Karimov SH.I. Problemy i perspektivy khirurgii ostrogo kholetsistita v Uzbekistane //Kholetsistit i yego oslozhneniya: Tez. dokl. Resp. nauch.-prakt. konf. s mezhdunar. uchastiyem. – Bukhara, 1997. – S. 3-6. 25. Karpova R.V. Maloinvazivnyye khirurgicheskiye vmeshatel'stva pod kontrolem UZI v diagnostike i lechenii vneorgannykh otgranichennykh skopleniy zhidkosti v bryushnoy polosti: Dis. ... kand. med. nauk. – M, 2000. 26. Korotkov N.I., Kukushkin A.V. Maloinvazivnyye vmeshatel'stva pod vizual'nym kontrolem v diagnostike i lechenii organnykh i vneorgannykh abstsessov verkhnego otdela zhivota // Endoskop. khir. – 2004. – №2. – S. 12-15. 27. Kostin A.Ye. Znacheniye leykotsitarnogo indeksa intoksikatsii v prognoze i diagnostike gnoynykh oslozhneniy posle vnutribryushnykh vmeshatel'stv // Vestn. khir. – 1998. – №2. – S. 100. 28. Kriger A.G., Shurkalin B.K., Glushkov P.S., Andreytsev I.L. Diagnostika i lecheniye posleoperatsionnykh vnutribryushnykh oslozhneniy // Khirurgiya. – 2003. – №8. – S. 19-23. 29. Laberko L.A., Kuznetsov N.A., Rodoman G.V. i dr. Individual'nyy prognoz tyazhesti techeniya posleoperatsionnogo perioda i iskhoda rasprostranennogo peritonita // Khirurgiya. – 2005. – №2. – S. 29-33. 30. Milonov O.B., Toskin K.D., Zhebrovskiy V.V. Posleoperatsionnyye oslozhneniya i opasnosti v abdominal'noy khirurgii. – M.: Meditsina, 1990. – 558 s. 31. Nazyrov F.G., Devyatov A.V., Khodzhiyev D.SH., Sadykov R.YU. Kriterii otsenki tyazhesti techeniya i vybora taktiki lecheniya posleoperatsionnykh abstsessov bryushnoy polosti // Materialy 10-y nauchno-prakticheskoy konferentsii ekstrennoy meditsinskoy pomoshchi // Vestn. ekstr. meditsiny. – 2012. – №2. – S. 75. 32. Nazyrov F.G., Akbarov M.M., Nishanov M.SH., Saydazimov Ye.M. Yatrogennyye povrezhdeniya zhelchnykh protokov // Khirurgiya Uzbekistana. – 2011. – №3. – S. 4-11. 33. Nazyrov F.G., Akilov KH.A., Altyyev B.K. i dr. Diagnostika i lecheniye intraoperatsionnykh povrezhdeniy i posttravmaticheskikh striktur zhelchnykh protokov // Annaly khir. gepatol. – 2000. – T. 5, №2. – S. 126-127. 34. Nazyrov F.G., Khadzhibayev A.M., Altyyev B.K. Operatsii pri povrezhdeniyakh i strikturakh zhelchnykh protokov // Khirurgiya. – 2006. – №4. – S. 46-52. 35. Panchenkov D.N., Mamalygina L.A. Yatrogennyye povrezhdeniya vnepechenochnykh zhelchnykh protokov: diagnostika i khirurgicheskaya taktika na sovremennom etape // Annaly khir. gepatol. – 2004. – T. 9, №1. – S. 156-163. 36. Potapov A.O., Voronov A.A. Tyazhelyye oslozhneniya endoskopicheskikh transpapillyarnykh vmeshatel'stv // Ros. zhurn. gastroenterol., gepatol., koloproktol. – 2003. – №5. – S. 147. 37. Rybakov G.S., Dibirov M.D., Briskin B.S, Khalidov O.KH. Pankreatogennyy sepsis // Tez. dokl. mezhdunar. khirurgicheskogo kongressa. – Rostov n/D, 2005. – S. 90. 38. Savel'yev B.C., Gel'fand B.R., Filimonov M.I. Peritonit. – M.: Litterra, 2006. – 69 s. 39. Stukalo A.A., Radenko Ye.Ye. Krovotecheniya posle endoskopicheskikh vmeshatel'stv na organakh bryushnoy polosti // Ukrainskiy zhurn. maloinvazivnoy i endoskop. khirurgii. – 2001. – T. 5, №1. 40. Timoshin A.D., Mirzayev A.U., Barnayev A.L., Shodiyev S.I. Neposredstvennyye i otdalennyye oslozhneniya laparoskopicheskoy kholetsistektomii // Materialy 10-y nauchno-prakticheskoy konferentsii ekstrennoy meditsinskoy pomoshchi // Vestnik ekstr. meditsiny. – 2012. – №2. – S. 94. 41. Fedorov A.V., Chadayev A.P., Sazhin A.V. Relaparoskopiya v lechenii posleoperatsionnykh oslozhneniy // Khirurgiya. – 2005. – №8. – S. 80-85. 42. Khadzhibayev A.M., Asomov KH.KH., Rizayev K.S. i dr. Posleoperatsionnyye vnutribryushnyye oslozhneniya v urgentnoy khirurgii // Vestn. ekstr. meditsiny. – 2012. – №1. – S. 5-10. 43. Khadzhibayev A.M., Asomov KH.KH., Riskiyev U.R. Fibrolaparoskopiya v diagnostike i kompleksnom lechenii posleoperatsionnykh vnutribryushnykh oslozhneniy // Vestn. ekstr. meditsiny. – 2013. – №1. – S. 14-18. 44. Khadzhibayev A.M., Alidzhanov F.B., Vakhidov A.B. Sravnitel'naya otsenka rezul'tatov videolaparoskopicheskoy, minilaparotomnoy i traditsionnoy kholetsistektomii //Khirurgiya Uzbekistana. – 2004. – №2. – S. 51-53. 45. Khadzhibayev A.M., Malikov YU.R., Atadzhanov SH.K. i dr. Laparoskopicheskiye vmeshatel'stva v diagnostike i lechenii posleoperatsionnykh vnutribryushnykh oslozhneniy v urgentnoy abdominal'noy khirurgii // 12-y Mezhdunarodnyy kongress khirurgov-gepatologov stran SNG // Annaly khir. gepatol. – 2005. – T. 10, №2. – S. 230. 46. Khatsiyev B.B., Makushkin R.Z., Gadayev SH.SH., Kudzheva F.A. Nazointenstinal'naya intubatsiya kak sposob snizheniya vnutribryushnogo davleniya v lechenii abdominal'nogo sepsisa // Tezisy dokladov mezhdunarodnogo khirurgicheskogo kongressa. – Rostov n/D, 2005. – S. 101. 47. Chepelkin YU.M.., Franyuk M.Ye., Savko A.V. Zhelchnyy peritonit posle laparoskopicheskoy kholetsistektomii // Zdravookhr. Minska. – 1999. – №12. – S. 51. 48. Shurkalin B.K., Faller A.P. Diagnostika i lecheniye posleoperatsionnogo peritonita i vnutribryushnykh abstsessov // Vestn. RAMN. – 2010. – №1. – S. 8-12. 49. Shurkalin B.K., Kriger, V.A., Gorskiy, V.G. Gnoynyy peritonit. – M.: Meditsina, 1993. 50. Yarema I.V., Urtayev B.M., Akopyan A.A. i dr. Otsenka klinicheskoy effektivnosti endolimfaticheskoy antibakterial'noy terapii u bol'nykh s abstsessami bryushnoy polosti // Limfologiya. – 2009. – №1-2. – S. 270-272. 51. Asselah T., Condat B., Sibert A. et al. Haemobilia causing acute pancreatitis after percutaneous liver biopsy: diagnosis by magnetic resonance cholangiopancreatography // Europ. J. Gastroenterol. Hepatol. – 2001. – Vol. 13, №7.-P. 877-879. 52. Brugge W.R., Rosenberg D.J., Alavi A. Diagnosis of postoperative bile leaks // Amer. J. Gastroenterol. – 2000. – Vol. 189. – P. 1278-1283. 53. Buchler M.W., Baer H.U., Brugger L.E. Chirurgische therapie der diffusen Peritonitis HerdSaneirung und intraoperative extesiv Lavage // Chirurgie. – 1999. – Vol. 68, №8. – S. 811-815. 54. De Waele J.J., Hesse U.J., Pattyn P. et al. Postoperative lavage and on demand surgical intervention in the treatment of acute necrotizing pancreatitis // Acta Chir. Belg. – 2000. – №2. – P. 20. 55. Dexter S.P., Miller G.V., Davides D. et al. Relaparoscopy for the detecton and treatment of complications of laparoscopic cholecystectomy // Amer. J. Surg. – 2000. – №4. – P. 316-319. 56. Dugernier T., Laterre P.F., Reynaert M.S. Ascites fluid in severe acute pancreatitis: from pathophysiology to therapy // Acta Gastroenterol. Belg. – 2000. – Vol. 63, №3. – Р.264-268 57. Feldman L., Barkun J., Barkun A. et al. Measuring postoperative complications in general surgery patients using an outcomes-based strategy: Comparison with complications presented at morbidity and mortality rounds // Surgery. – 2000. – №4. – P. 578-585. 58. Paczynsk A., Koziarski T., Stanowski E. et al. Extrahepatic bile duct injury during laparoscopic cholecysectomy-own material // Med. Sci. Monit. – 2002. – Vol. 8, №6. – Р. 438-440.

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