Melnykov V. The choice of method cholecystectomy workers of the coal industry with occupational respiratory diseases.

The thesis includes the results of a comprehensive clinical instrumental, immunological and biochemical examination 99 workers of the coal industry with different forms of cholecystitis. It is established that laparoscopic surgery in patients with respiratory diseases are often accompanied cardiopulmonary complications. Leading the negative factor is carboperitoneum. When this occurs, the increase in intra-abdominal pressure, both during the operation and in postoperative period. The increase in intra-abdominal pressure leads to the development of respiratory dysfunction and cardiopulmonary complications. It was found that increased levels of fibronectin and endothelin in plasma is directly dependent on the severity of respiratory failure and may be a test of its severity in patients with a disposal facility after cholecystectomy. This technique made it possible to develop an algorithm of choice of method of surgical treatment of cholecystitis patients with diseases of respiratory organs. The method developed comprehensive prevention pulmonary-cardiac complications after cholecystectomy in patients with disposal facility helped to reduce the number of complications and improve the results of treatment.