EFFICIENCY OF INTRA-EXTRACYSTIC SANATION AT VIDEO ENDOSURGERY OF ACUTE COMPLICATED CHOLECYSTITIS
Abstract
In this report, we present the results of the use of intra-extracystic sanation in complicated cholecystitis, the state of hemostasis and gallbladder microflora. Cholecystectomy under video laparoscopic control with destructive cholecystitis allows to speed up the operation time, reduce the number of conversions, intra-and postoperative complications. After surgery, there is hypercoagulation and depression of fibrinolysis, a decrease in the adhesive and aggregation activity of the platelets, which must be considered when maintaining the postoperative period. The microflora of the gallbladder in many patients is resistant to most antibiotics.