RESUMO
Own experience of surgical treatment of patients for postcholecystectomy syndrome (PCHES) in a 2010 - 2015 yrs period was enlighten. The PCHES modified classification was adduced, the immediate and remote results of the patients' treatment were analyzed, technical aspects and peculiarities of performance of some operative interventions, the risk factors for the PCHES occurrence were analyzed.
Assuntos
Ductos Biliares/cirurgia , Vesícula Biliar/cirurgia , Síndrome Pós-Colecistectomia/classificação , Síndrome Pós-Colecistectomia/diagnóstico , Algoritmos , Ductos Biliares/patologia , Ductos Biliares/fisiopatologia , Colecistectomia/métodos , Colecistectomia/reabilitação , Duodeno/patologia , Duodeno/fisiopatologia , Feminino , Vesícula Biliar/patologia , Vesícula Biliar/fisiopatologia , Humanos , Masculino , Pâncreas/patologia , Pâncreas/fisiopatologia , Síndrome Pós-Colecistectomia/fisiopatologia , Síndrome Pós-Colecistectomia/cirurgia , Estudos Retrospectivos , Fatores de RiscoRESUMO
Abstract Own experience of treatment of patients for biliary calculous disease, coexistent with other abdominal and retroperitoneal organs diseases, was analyzed. The rate of postcholecystectomy syndrome (PCHES) occurrence in such patients was determined, the impact of simultant operative interventions using laparoscopic and laparotomic accesses on the rate of the PCHES occurrence was established. The elaborated diagnostic-treatment algorithm with application of measures, directed on the PCHES prophylaxis, was elaborated. There was established, that performance of simultant operations in accordance to strict indications secures a trustworthy reduction of the PCHES occurrence rate.