METHOD OF SELECTING SAFE METHOD OF CHOLECYSTECTOMY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to abdominal surgery. Pain syndrome, content of gallbladder cavity and choledochal cavity are determined by ultrasound, or CT, or MRI, presence of changes on the side of the pancreas based on the patient's medical history and ultrasound or CT or MRI, Murphy's symptom and degree of inflammatory changes of gall bladder walls and surrounding tissues by ultrasound, or CT, or MRI. Each attribute is assessed in points, after which they are summed up. If the total score is 5–8 points, any available method of cholecystectomy – traditional cholecystectomy (TCE), either video laparoscopic cholecystectomy (LCE), or cholecystectomy from mini-access (MLCE); from 9 to 11 points – choose MLCE with skin incision length of 4–6 cm or TCE; from 12 to 15 points – choose MLCE with skin incision 6–10 cm long or TCE.;EFFECT: use of the invention provides safer and more accurate selection of the surgical management of the patients with chronic metabolic syndrome.;1 cl, 1 tbl, 9 ex