3. Өт жолдарының лапароскопиялық холицистэктомиядан кейінгі зақымдалуы. Әдебиет шолуы
Жүктеулер
Аңдатпа
Осы мақалада өт жолдарының лапароскопиялық холицистэктомиядан кейінгі зақымдалуы туралы әдебиетке шолу ұсынылған. Лапараскопия өт жолдарында тас байланатын ауру түрлерін емдеудегі ең негізгі стандарт болып табылады. Бұл әдістің бірқатар артықшылықтары бар: инвазивтіліктің аз мөлшерде болуы , тез қалпына келу, ауру-ханада аз ғана уақыт жату, косметикалық әсері жақсы, өлім жағдайының өте аз кездесуі. Осы артықшылықтармен қатар асқынулардың саны да өсті: өт жолдарының,бауыр тамырларының зақымдануы, өт жұмысының нашарлауы, өт жолдарының тарылуы, өт жолдарын айдаудағы ақаулар және өт қабы айналымын дұрыс өңдемеу, іш қуысын жеткіліксіз түрде айдап шығару. Бүгінгі таңда хирургиялық емдеудің көптеген аспектілері және өт жолдары жарақаттарының алдын алу бүгінгі таңға дейін даулы мәселе болып келеді. Осы асқынулардың негізгі себептері: хирургтың тәжірибесінің жеткіліксіз болуы, ұқыпсыздық, бауыр қақпалары мен бауыр-дуоденальды байлам аймағындағы маңызды анатомиялық түзілімдердің негізгі нұсқалары мен мүмкін болатын ауытқуларын білмеу, техникалық қателіктер.
Кілт сөздер
өт жолдарының ятрогенді жарақаты, өт жолдарының зақымдануы
Әдебиеттер тізімі
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