Abstract
Laparoscopic methods of diagnostics and treatment of acute pancreatitis were applied to 52 patients, of whom 28 had edematous, non-destructive form of the disease, and others had destructive form of acute pancreatitis. A definite merit of the proposed method is transition from diagnostic laparoscopy to a therapeutic one, which makes it possible to perform the necessary surgical procedures with lesser risk than in the case of laparotomy. Of 38 patients subjected to curative laparoscopy, four had to undergo an open operation due to progression of purulent-septic complications. In order to remove the endogenous toxicosis, various methods of detoxification have been applied in 22 patients. In 14 cases, one or two sessions of plasmapheresis were performed. Biochemical markers used for determining the level of toxemia were “middle molecules”. In six cases, against the background of intensive care, oral sorption (enterosorption) was administered 2–3 days after operative intervention. On the basis of the clinical results, indications and contraindications for the use of diagnostic laparoscopy and laparoscopic operation have been formulated.
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Khadjibaev, A.M., Rizaev, K.S., Asamov, K.H. (2011). Application of Innovative Technologies in Diagnostics and Treatment of Acute Pancreatitis. In: Mikhalovsky, S., Khajibaev, A. (eds) Biodefence. NATO Science for Peace and Security Series A: Chemistry and Biology. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0217-2_24
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DOI: https://doi.org/10.1007/978-94-007-0217-2_24
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