A MULTIMODAL STRATEGY – FAST TRACT SURGERY FOR TREATMENT CHOLELITHIASIS

DOI:

https://doi.org/10.54890/.v4i4.600

Abstract

Resume: This paper presents a multivariate analysis of laparoscopic treatment of 297 patients with gallstone disease, based on the use of multi-modal program Fast track surgery (FTS) «quickest way to surgery». FTS program covers all phases of perioperative care. The age of patients ranged from 25 to 75 years, women were 253 (85.2%), 44 men (14.8%), with disease duration from 6 months to 5 years. In 37 (12.4%) had comorbidities. All patients underwent laparoscopic cholecystectomy. Complications occurred in 6 (2%) patients. Deathswere not. Conversion was observed in 7 (2.3%). Mean hospital stay was 3.9±0.92 bed days. Using the program contributed to early rehabilitation, quality of life, decrease hospital stay and reducing material costs for treatment.

Keywords:

Fast Track Surgery, cholelithiasis, laparoscopic cholecystectomy.

Author Biographies

R.A. Omorov, Kyrgyz State Medical Academy named after I.K. Akhunbaev

Chair of faculty surgery

B.K. Osmonaliev, Kyrgyz State Medical Academy named after I.K. Akhunbaev

Chair of faculty surgery

J.T. Konurbaeva, Kyrgyz State Medical Academy named after I.K. Akhunbaev

Chair of faculty surgery

M.Ch. Alymkulov, Kyrgyz State Medical Academy named after I.K. Akhunbaev

Chair of faculty surgery

A.U. Aitikeev, Kyrgyz State Medical Academy named after I.K. Akhunbaev

Chair of faculty surgery

References

1. Shaffer E.A. Gallstone disease: Epidemiology of gallbladder stone disease // Best Pract. Res. Clin. Gastroenterol. - 2006. - Vol. 20(6). - P. 981–996.

2. Мамакеев М.М. Проблемы и перспективы хирургического лечения острого холецистита /М.М. Мамакеев//Хирургия Кыргызстана. - 2008. - №1. - С. 19-25.

3. Оморов Р.А. Хирургия желчнокаменной болезни: эволюция доступов, щадящие технологии / Р.А. Оморов, Б.А. Авасов, Р.К. Бейшенбаев. - Бишкек: Maxima, 2005. – 337 с.

4. Лейшнер У.М. Практическое руководство по заболеваниям желчных путей. - М., 2001. - 264 с.

5. Grigoras I. Fast track surgery // J. de Chirurgie Iasi. - 2007. - Vol. 3, N 2. - P. 89-91.

6. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation // Br.J. Anaesth. - 1997. - Vol. 78. - P. 608-617.

7. Kehket H., Wilmore D.W. Evidence-based surgical care and the evolution of fast track surgery // Ann. Surg. - 2008. - Vol. 208, N 2. - P. 189-198.

8. Wind J., Pollc S.V., Fung Kon Jin H.P. et al. Systematic review of enhanced recovery programmes in colonic surgery // Brit. J. Surg. - 2006. - Vol. 93. - P. 800-809.

Published

2023-04-12

How to Cite

Оморов, Р., Б. . Осмоналиев, Ж. Конурбаева, М. Алымкулов, and А. Айтикеев. “A MULTIMODAL STRATEGY – FAST TRACT SURGERY FOR TREATMENT CHOLELITHIASIS”. Euroasian Health Journal, vol. 4, no. 4, Apr. 2023, pp. 99-104, doi:10.54890/.v4i4.600.

Issue

Section

QUESTIONS OF SURGERY