Симультанные операции в бариатрической хирургии
Автор: Смирнов Александр Вячеславович, Станкевич Владимир Романович, Панченков Дмитрий Николаевич, Шаробаро Валентин Ильич, Иванов Юрий Викторович, Величко Евгений Александрович
Журнал: Клиническая практика @clinpractice
Рубрика: Обзоры
Статья в выпуске: 4 т.11, 2020 года.
Бесплатный доступ
Представлен анализ исследований, посвященных проблеме симультанных холецистэктомий, пластики вентральной и параэзофагеальной грыж у пациентов с морбидным ожирением. При наличии клинической картины хронического калькулезного холецистита выполнение симультанной холецистэктомии представляется оправданным и не приводит к существенному увеличению числа осложнений. При бессимптомном камненосительстве оптимальная тактика остается спорной: возможно как хирургическое лечение, так и наблюдение. При отсутствии желчнокаменной болезни всем пациентам после хирургической коррекции лишнего веса показан прием урсодезоксихолевой кислоты, выполнение же профилактической холецистэктомии не рекомендуется. Симультанная пластика вентральной грыжи оправдана лишь при небольших дефектах (
Симультанная операция, желчнокаменная болезнь, холецистэктомия, продольная резекция желудка, гастрошунтирование, вентральная грыжа, параэзофагеальная грыжа
Короткий адрес: https://sciup.org/143175831
IDR: 143175831 | DOI: 10.17816/clinpract58047
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