4. Effectiveness Of Using Less Invasive Technologies In Surgical Treatment Of Acute Gallstone Disease Together With Dysfunction Of The Thyroid Gland

Authors

  • Y. Aliyev Scientific Centre of Surgery named after M. A. Topchubashov, Baku, Azerbaijan
  • S. Mehdizada Scientific Centre of Surgery named after M. A. Topchubashov, Baku, Azerbaijan

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Abstract

Thus, continuous increase in the number of patients suffering from gallstone disease and thyroid dysfunction and their combination, absence of a single idea with respect to diagnosis and surgical treatment in such contingent patients determines the relevance of the problem selected for the research. Research. materials and methods. 25 patients with goitrous forms together with gallstone disease was inpatient treatment in scientific centre of surgery named after M. A. Topchubashov. They are from 17 up to 63, 19 women (76%) and 6 (24%) men. Among those with different goitrous forms, those who were able to work were prevailed. All 25 patients, who constitute the material of this scientific study, were divided into two groups. The main group consisted of 17 (68%) patients that they were operated (joint cholecys-tectomy with thyroidectomy) using laparoscopic techniques and instruments (laser). 8 (32%) of patients constitute the control group that traditional surgical intervention was used in gallbladder and gallbladder pathways here jointly with thyroidectomy. All 25 patients with gallstone disease, with various goitrous forms, have undergone surgical treatment..

Results. It should be noted that in the last decade significant changes were observed in the structure of the thyroid gland dysfunction. Thus, if patients who previously suffered from thyroid gland with nodular and multiple goitrous were the majority and recently, the significant increase of chronic thyroiditis and cancer disease of thyroid gland was re-corded. While using less invasive techniques in the implementation of interventions postoperative complications were encountered in 1 (one) of 17 patients, 1 (5.9%) (seroma), whereas while using conventional methods, complications were occurred in 4 patients (50%) of 8 patients (seroma, irritation and subcutaneous bleeding). When analysing their characteristics it became apparent that while using less invasive technology, complications after thyroidectomy have been observed 2.5 times less than traditional operations; hemocoagulation complications were not found in any patient.

Keywords

gallbladder, cholelithiasis

References

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Published

2019-04-01

Issue

No. 1 (2019)

Section

Статьи