CRITERIA FOR ASSESSING IMMEDIATE AND LONG-TERM RESULTS OF LAPAROSCOPIC CHOLECYSTECTOMY

Abstract

The high prevalence of cholelithiasis, the increase in the number of  elderly  and  senile  patients,  as  well  as  the  widespread  concomitant  cardiovascular,  endocrine and metabolic diseases cause a steady increase in the number of patients with  complicated forms  of gallbladder inflammation, as written in their work by scientists  from Uzbekistan [1,3,5,7,9,11,13], representing the Bukhara State Medical Institute,  and they noted that the presence of multiple concomitant pathologies, a decrease in the  functional  reserves  of  the  body  and  a  high  frequency  of  complicated  forms  of  the  disease significantly complicate both the diagnostic process and the decision -making  process  on  choosing  the  optimal  method  of  surgical  treatment,  which  is  also  emphasized by Russian scientists, for example, from the Far Eastern State Medical  University  [2,4,6,8,10]  and  Novosibirsk  National  Research  State  University  [3,15,17,19], and employees of the Institute of Postgraduate Education in Healthcare  of the Republic of Tajikistan N.D. Mukhiddinov et al. [2,14,16,18] having studied the  results  of  treatment  of  95  patients  with  ACC  showed  that  when  choosing  surgical  tactics  it  is  necessary  to  take  into  account  not  only  the  form  of  the  inflammatory  process, but also the nature of local anatomical changes, and when analyzing the results  of open interventions, complications of the early postoperative period were recorded  in 22.5% of patients, and the mortality rate reached 7.5%,