Modern nzira kushanda kuvhiya - laparoscopic cholecystectomy

Nevakawanda rakatangwa muna ose kuvhiya tsika laparoscopic cholecystectomy pari kupfuura mukurumbira mashandiro anoitwa pasi biliary turakiti. The undoubted zvakanakira ichi kuvhiya kunokwanisa kuderedza ya nguva postoperative inorapa, uye kuwedzera kuzoita murwere. Nengozi yematambudziko ari nenguva maitiro remapazi akadaro nduru dundira dererei zvikuru pane pamwe dzenhoroondo zvomusejari nzira.

Sei mukurumbira saka laparoscopic nduru dundira kuvhiyiwa?

Statistical Data anoratidza kuti laparoscopic cholecystectomy rinoitwa vachiwedzera ose gore - zvinosuruvarisa, nhamba varwere chakasimba kuvhiya zvokurwara pamusoro nduru dundira riri kukura. kwacho dzinoshandiswa nevakawanda nekuda kurapa gallstone chirwere kuitika nechekumashure kwake cholecystitis, zvisinei wawo. Vazhinji vanachiremba nhasi akati kuti nduru dundira kuvhiyiwa zvinofanira kuitwa kwava Varwere vose vane matombo ari kuongorora akawanikwa asina amenable kuti kuchinja kurapa - hazvideredzi kukura kana richifambira mberi kunyange kugadzwa zvinodhaka kuti kuiparadza mabwe.

Pasinei chokwadi kuti kuvhiya kwakadaro kunoda talk yokutindivadza, uchishandisa unyanzvi ichi kunoderedza uchishandisa nguva uye yekudyidzana kunoderedza uwandu kurasikirwa neropa. A maitiro chinoratidza laparoscopic cholecystectomy ndiwo ayo usingashandi invasiveness, uye saka murwere postoperative kupora iri akwanise substantially. Laparoscopic Kuvhiya zvinoda kushandiswa chaiyo michina zvinodhura, asi ndainakidzwa migumisiro yokurapa dzinobatsira kupararira nyore kupindira kwakadaro.

Nokuti murwere, zvakakosha kutapudzwa nguva inodiwa kuti adzikunure - kana kushandisa nzira iyi kanoverengeka akazoita urefu garei muchipatara, uye kuti ayo mazuva mutinhimira upenyu vanhu vanogona kudzoka zvikuru nokukurumidza.

Zvairatidza uye contraindications nokuda laparoscopic cholecystectomy

The huru chipingamupinyi nokushanda, uyewo mabasa chero endoscopic Kupindira pamusoro abdominal zvomukati, ndiyo peritonitis kana kuonekwa zviratidzo izvo anoratidza zvinoita kukura kuomesa ichi. Ndokusaka vanovhiya vanoti kuti laparoscopic cholecystectomy inofanira Zvakanakisa kuitwa kunze rikwanise pavaipfuura chirwere - mune iyi mukana septic yematambudziko ipfupi ne kakawanda. Zvinosuruvarisa exacerbations echirwere peritonitis, kuoma nokuda kukura choledocholithiasis kana empyema kuti nduru dundira, chiremba inofanira kuva nzira hwokushanda kufamba kubva laparoscopic kuwana navanopinda cavitary kupindira, uye mune postoperative munguva - kuita kurapwa kwenguva yakareba uye kuti vadzorere yakaputsika anokosha muviri.

Laparoscopic cholecystectomy pari chinoramba chiri chinhu kuvhiya kurapwa beskalkuleznogo rikwanise cholecystitis, matombo omunduru, gallbladder polyps - zvose zvinhu nokuda kubviswa kunge yakakura pakati reDare zvomudumbu hurongwa. Zvinofanira kurangarirwa kuti kupindira ichi haatarisiri inokosha preoperative kugadzirira murwere - purogiramu yenguva dzose muna Pakadaro, rabhoritari uye richishanda kuongororwa anoramba kuzochinja. Mubayiro marapirwo ndiwo nokukurumidza kuzoita murwere mushure shoma chipingaidzo uye zvizorwa kuremara ganda Anterior abdominal rusvingo, zvichiita unyanzvi ichi saka yakakurumbira.