Background. Mini-invasive interventions are effective and safe treatment of surgical diseases, while minimizing the impact of surgical aggression on the human body. After conventional surgery incidence of septic complications are higher as compared to laparoscopic surgery. At the same time remains relevant search criteria of predict septic complications in abdominal surgery. Prognostic values of endogenous intoxication and immune status of the body are poorly understood in laparoscopic and convention surgical treatment of acute diseases of the abdominal cavity.
The aim of the study was to find predictors of septic complications after laparoscopic and conventional operational interventions in patients with acute abdominal pathology.
Methods. We analyzed septic complications in 284 patients with acute abdominal surgical diseases. All patients were divided into two groups: the first (I) — 164 patients who were operated conventionally and second (II) — 120, who were operated laparoscopically.
Results. The incidence of complications was significantly lower in patients operated laparoscopically — 5.0% against — 10.7% (p<0.05).
Conclusions. The study stated that elevated levels of leukocyte intoxication index (> 3.0) and lymphopenia (< 1.1 g/l) are objective predictors of septic complications and abdominal sepsis after conventional and laparoscopic surgery in patients with acute abdominal pathology.