Osadets' V. Complex Surgical Treatment of Patients with Acute Cholecystitis Complicated by Paravesical Infiltrate

Subject of the study:Acute Cholecystitis Complicated by Paravesical Infiltrate . Purpose of the study: The results of complex surgical treatment of patients with acute calculous cholecystitis complicated by paravesical infiltrate have been studied and recommendations to introduce the methods into practice have been given.. Methods of research: clinical, laboratory, instrumental (fibrogastroduodenocopy, ultrasound investigation), morphohistological and static methods. Practical significance of the obtained results:The results of complex surgical treatment of patients with acute calculous cholecystitis complicated by paravesical infiltrate have been studied and recommendations to introduce the methods into practice have been given(UA №29384 by 10.01.2008.bul.2008.№1) . Scientific novelty:The disorder of protein-synthesized function of liver, humoral immunity (IgG, IgA, IgM), enzymes of hepatocytes cytolisis, peroxidation of lipids and system of antioxidant defense have been investigated. Methods of complex surgical treatment of patients with acute cholecystitis complicated by paravesical infiltrate have been developed taking into account clinical-and-instrumental changes, histomorphological structure and local immunity of these tissues and detected metabolic and homeopathic shifts of the body. There have been developed techniques of paravesical infiltrate separation and elements of gallbladder neck visualization in laparoscopic cholecystoectomy. .Degree of introduction: ThThe main items of dissertation are introduced into the work of the surgical departments of the district clinical hospital, central municipal clinical hospital and municipal clinical hospital №1 in Ivano-Frankivsk; Tlumach central regional hospitals, and are used in educational process of surgical chairs of Ivano-Frankivsk state Medical University.