Chronic calculous cholecystitis in patients with situs viscerum inversus totalis

Луцевич, О. Э.; Tolstykh, M. P.; Vtorenko, V I; Rozumnyi, A. P.; Shirinsky, V. G.; Pronin, A. I.

doi:10.17116/hirurgia2017397-101

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…e development of gallbladder stones with chronic cholecystitis in patients is usually associated with excessive accumulation of bile salts and high cholesterol [9]. An imbalance in the ratio of cholesterol content and bile acids may lead to excessive storage of cholesterol in the bile, resulting in bacterial infection and precipitation [10] and gallbladder stones with chronic cholecystitis. Symptoms of gallbladder stones with chronic cholecystitis include abdominal distension and belching, and the lack of timely treatment may deteriorate the condition [11] and result in complications such as gallbladder effusion, obstructive jaundice, and porcelain-like gallbladder, seriously compromising the quality of life of patients [12].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Laparoscopic Cholecystectomy in Patients with Gallbladder Stones with Chronic Cholecystitis

Rao

Zhou

Gao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To assess the effectiveness of laparoscopic cholecystectomy in patients with gallbladder stones and chronic cholecystitis. Methods. From July 2018 to January 2020, 90 patients with gallbladder stones and chronic cholecystitis assessed for eligibility were recruited and concurrently assigned (1 : 1) to receive either small-incision cholecystectomy (observation group) or laparoscopic cholecystectomy (experimental group). Outcome measures included operation time, intraoperative bleeding volume, postoperative hospital stay, c-reactive protein (CRP), interleukin (IL)-6, tumor necrosis factor-α (TNF-α), gastrin (GAS), vasoactive intestinal peptide (VIP), motilin (MOT), and adverse events. Results. Patients given laparoscopic cholecystectomy showed lower levels of operation-related indices versus those receiving small-incision cholecystectomy ( P < 0.05 ). Laparoscopic cholecystectomy resulted in lower postoperative levels of CRP, IL-6, and TNF-α in the patients versus small-incision cholecystectomy ( P < 0.05 ). Patients receiving laparoscopic cholecystectomy showed better GAS, VIP, and MOT levels than those receiving small-incision cholecystectomy ( P < 0.05 ). The eligible patients after laparoscopic cholecystectomy had a significantly lower incidence of adverse events versus those after small-incision cholecystectomy ( P < 0.05 ). Conclusion. Laparoscopic cholecystectomy effectively shortens the operative time and length of hospital stay in patients with gallbladder stones and chronic cholecystitis, reduces intraoperative bleeding, attenuates the inflammatory response, and enhances the gastrointestinal function, with less surgical trauma and high safety. Clinical trials are, however, required prior to promotion.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Laparoscopic Cholecystectomy in Patients with Gallbladder Stones with Chronic Cholecystitis

Rao

Zhou

Gao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…Sometimes it outweighs the primary operation and is characterized by a relatively high incidence of complications, which is more associated with the development of adhesive disease. Moreover, the adhesion process often leads to significant technical difficulties when performing repeated operations on the abdominal organs, while increasing the number of surgical complications (Lutsevich et al, 2007;Shchaeva, 2017;Banerjee et al, 2005;Dalgic et al, 2015).…”

Section: Research Articlementioning

confidence: 99%

The Effect of 5-Fluorouracil on the Adhesion Process in Patients Operated on for Colorectal Cancer

Zhakipbekov

Osombaev

Irimbetov

2022

Asian Pac J Cancer Prev

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Objective: The aim of this study was to improve the direct results of reconstructive surgery in patients operated on for complicated forms of colorectal cancer, by using 5-fluorouracil in the postoperative period. Methods: The study involved 126 patients (they were divided into 2 groups) with colorectal cancer, who underwent reconstructive surgery. They underwent a standard clinical examination and a mandatory examination program. Results: The use of 5-fluorouracil in adjuvant treatment in patients with colorectal cancer significantly reduces the number of subjective clinical manifestations (positional tests) in the main group – 17%, and in the control group – 54.3%, as well as objective clinical manifestations (instrumental research methods) in Group I – 13%, and Group II – 89.5%, respectively. The study shows that in re-operated patients with colorectal cancer who received 5-fluorouracil, abdominal adhesions are characterized by a low content of collagen and fibroblasts, low vascularization and a high content of polymerized fibrin strands. It was also found that re-operated patients with colorectal cancer who did not receive 5-fluorouracil, abdominal adhesions are characterized by a high collagen content, a large number of fibroblasts, and severe angiogenesis. Conclusion: It was found that the prolonged administration of 5-fluorouracil statistically significantly reduces the risk of adhesions, thereby showing the effectiveness of preventing adhesive disease of the abdominal organs. It was shown that the prolonged administration of 5-fluorouracil significantly reduces the number of subjective and objective signs of adhesive disease of the abdominal organs, as well as significantly decreases intraoperative and postoperative complications, the duration of the operation, and the amount of blood loss. In the postoperative period, it reduces the length of hospital stay and improves the quality of life of patients.

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A Systematic Review of Laparoscopic Cholecystectomy in Situs Inversus

Chaouch

Jerraya

Dougaz

et al. 2019

Journal of Investigative Surgery

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Chronic calculous cholecystitis in patients with situs viscerum inversus totalis

Cited by 3 publications

References 19 publications

Effectiveness of Laparoscopic Cholecystectomy in Patients with Gallbladder Stones with Chronic Cholecystitis

Effectiveness of Laparoscopic Cholecystectomy in Patients with Gallbladder Stones with Chronic Cholecystitis

The Effect of 5-Fluorouracil on the Adhesion Process in Patients Operated on for Colorectal Cancer

A Systematic Review of Laparoscopic Cholecystectomy in Situs Inversus

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