METHOD FOR PREDICTING POSSIBLE OUT-PATIENT TREATMENT OF PATIENTS AFTER LAPAROSCOPIC CHOLECYSTECTOMY Russian patent published in 2004 - IPC

FIELD: medicine, endoscopic surgery.

SUBSTANCE: cholecystectomic process should be recorded onto videofilm for independent surgery expert to analyze the course of operation after LCE. Moreover, it is necessary to detect the following mistakes: manipulations in area of Calot's triangle at no adequate visualization of choledochus; mistakes at clipping and crossing the cystic duct: nonconformity in clip's size and ductal diameter, nonvisualized branch of clipator, ductal clipping near entrance into choledochus, crossing of cystic duct due to coagulation; cholecystic perforation at concrements' fallout, unsafely performed hemostasis; inadequate aspiration and drainage of subhepatic space. Moreover, one should detect the duration of operation being above 1 h and the output of the following survival parameters beyond acceptable limits: SAO₂, Ap, Ps, HR. At detecting one and more of the above-mentioned values it is necessary to treat such a patient at the hospital, in case of no such values a patient should undergo out-patient therapy.

EFFECT: improved quality of postoperational therapy.

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