@article{2017,
abstract = {In 2003-2016 years surgical departments of the Surgery clinic AMU, the Central Clinical Hospital of the Customs Committee and the CMC of the Baku studied the results of surgical treatment of 217 patients with cholecystocholedocholithiasis connected with complications operations, ways of their prevention. The mean age was 59 ± 2.5 years (11-84), of them 156 females. Results. Stones of choledochus were refined and visualized in 181 patients (83.4%) with instrumental methods (MR-CG, ERCP), in the remaining cases using ERCP (14) or IOCG (14), of which multiple 155 (71.4%) , injected - 27 patients (12.4%). Expansion of choledochus - 153 (70.5%), jaundice - 126 (58.1%), biliary colic 82 (37.8%) and acute cholecystitis - 67 patients (30.9%) were the dominant signs in the majority of patients. The general condition of patients was marked by the severity of ASA I-II in 153 patients (70.5%). In the open group, after the extraction of stones (in 81 cases - from the choledochotomic opening (90.7%), in 5 (5.8%) - with ERCP) 51 complications were noted in 28 patients (32.55%). Complications, classified I-II degree according to T92 -Dindo classification (2004) of 30.2%, required surgical relief in 17.6% of patients with severity IIIb. ERCP+ EPST were performed in the laparoscopic endoscopic group before and after LCE and complete eradication of the stones was performed in 62 patients (83.8%), the remaining stones in 12 patients were visualized in the early postoperative period with the help of MR-CG and during the subsequent stage of surgical treatment ?OCG. Relict stones were removed by laparo-choledochoscopic technique, with open surgery and repeated ERCP. In this group, complications of mild severity were most common (78.1%). A total of 28 complications were noted in 14 patients (18.9%). In general, complications requiring therapeutic-endoscopic approaches were found in 9.4%, and surgical accommodations in 12.5% of cases. In 56 patients (96.5%) who underwent a onestage operation, the stones of choledochus were completely extracted (through the choledochotomic opening - in 33, transistically - in 24). Relict stones visualized in the early postoperative period in contrast cholangiography performed through T-tubes were removed by ERCP in one patient. In this group, complications occurred in the least amount (14 complications (14.0%) in 8 patients). All of them belonged to mild (I and II) degrees of severity and required therapeutic treatment. In comparison with patients of two-stage operating groups, a high frequency (96.5%) of eradication of choledochus stones was noted in a single-stage group: 94.2% (open) and 83.8% (laparoscopic endoscopic group). In the laparocholedochoscopic group, the best qualitative indicators of operations (the lowest frequency of postoperative complications and their mild severity, the lower level of demand for repeated resuscitation measures and surgical interventions, and the absence of a lethal outcome) were encountered.},
annote = {Xoledoxolitiazı olan 217 xəstənin a{\c{c}}ıq və laparoskopik m{\"{u}}alicəsinin nəticələri araşdırılmışdır. Nəticəyə g{\"{o}}rə biretaplı laparoskopik {\"{u}}sul daha effektiv g{\"{o}}r{\"{u}}n{\"{u}}r},
author = {Асланова, КД and Байрамов, НЮ and Рустам, АМ},
file = {:C\:/Users/nurub/Documents/NuruBay 2017/Məqalərər və tezislər/{\c{C}}ap olunmuş məqalələr/Mendeleydə olanlar/m-2017-oslojnenie-xirurg-lecheniya-xoletsistoxoledoxolitaza.pdf:pdf},
journal = {Биомедицина},
keywords = {BCK+,Mən məqalə,RG+,laparoscopic CBD exploration,laparoskopiya,xolediox daşı},
mendeley-tags = {Mən məqalə,laparoskopiya,xolediox daşı,BCK+,RG+},
number = {2},
pages = {39--45},
title = {{Осложнения хирургического лечения холецистоходедохолитиaзa рaзличными техникaми, их профилaктикa и лечение}},
url = {https://www.researchgate.net/publication/367362558_Osloznenia_hirurgiceskogo_lecenia_holecistohodedoholitiaza_razlicnymi_tehnikami_ih_profilaktika_i_lecenie http://bck.az/elm-ve-tedqiqat/meqaleler/m-2017-oslojnenie-xirurg-lecheniya-xoletsistoxoledoxolitaza https://www.biomedicine.az/download/biomed_2_2017.pdf},
year = {2017}
}