Світ медицини та біології, 2023, № 2 (84)

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https://repository.pdmu.edu.ua/handle/123456789/21293

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Перегляд Світ медицини та біології, 2023, № 2 (84) за Автор "Ivashchenko, D. M."

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    Substantiation of the application of gasless laparoscopic cholecystectomy in patients with a background of Covid-19 respiratory infection
    (Полтавський державний медичний університет, 2023) Zaiets, S. M.; Prikhidko, R. A.; Kravtsiv, M. I.; Ivashchenko, D. M.; Shevchuk, M. P.; Dudchenko, M. O.; Zezekalo, Ye. O.; Заєць, Сергій Миколайович; Прихідько, Роман Анатолійович; Кравців, Микола Ігорович; Іващенко, Дмитро Миколайович; Шевчук, Микола Петрович; Дудченко, Максим Олександрович; Зезекало, Єфім Олегович
    During the COVID-19 pandemic, calculous cholecystitis is one of the most frequent emergency pathologies requiring immediate surgical intervention. Laparoscopic surgery around the world has successfully replaced open surgery. However, high intra abdominal pressure of carbon dioxide, which is used according to the technology, leads to a high level of standing diaphragm, and can exert an extremely negative influence at the end of the operation in patients with COVID-19 respiratory infection. One of the ways to prevent complications is the further development of the laparolifting gasless laparoscopy technique. The aim of the study was to improve the surgical treatment of patients with acute calculous cholecystitis against the background of COVID-19 infection. We conducted an analysis of the effectiveness of cholecystectomies using the pneumoperitoneum and gasless method with the help of the laparolifting device, which we developed. The study involved the observation of patients who were immediately admitted to the surgical department with acute calculous cholecystitis against a background of COVID-19. The study showed that conducting cholecystectomy with the use of laparolifting in patients with COVID-19 respiratory infection allows us to reduce the risk of perioperative complications from the lungs, overstrain of the cardiovascular system and reduce the need for oxygen after surgery in patients with respiratory disorders, as well as to reduce the risk of increased blood pressure, eliminate the imbalance of the coagulation system in patients with COVID-19 infection much faster and restore the enzymatic activity of the liver in patients after surgery.