Introduction. The advantages of modern miniinvasive technologies in recent years stimulated the wide range of use in surgical practice, which increased frequency of specific postoperative complications, inherent specifically for these methodologies. Results of postoperative complications occurred in patients who underwent laparoscopic intervention in the department of laparoscopic surgery and cholelithiasis have been analysed. It is proved that relaparoscopy is an effective diagnostic and therapeutic method, and can be used in the majority of cases in this group of patients.
Materials and methods. Conducted retrospective analysis of laparoscopic surgeries took place in the department of laparoscopic surgery and cholelithiasis of the О. О. Shalimov National Institute of Surgery and Transplantology NAMS of Ukraine. 23,050 patients were operated in period from 1993 to January of 2015 years, including 7,952 (34.5%) men and 15,098 (65.5%) women. Age group of patients from7 to 94 years, average (48.3±6.8) years.
Results. The most frequent complication in an early postoperative period was the intraabdominal bleeding that was observed in 69 patients. Intraabdominal festering complications did not occur after implementation of laparoscopic hernioplasty, adrenalectomy, diagnostic laparoscopy. The intraabdominal infectious complications were educed in 179 (0.78%) patients, 63 patients were executed relaparoscopy. The majority of them arose due to complicated forms of cholecystitis, destructive appendicitis, pancreonecrosis, and also serious concomitant diseases. To prevent such complications it is necessary to conduct ultrasound monitoring after an operation, and thus in time and adequately to react on changes in the lodge of gall-bladder by the correction of curative management (additional conservative measures, ultrasound-guided aspiration (punctures), relaparoscopy or laparotomy).
Conclusions. Relaparoscopy appeared to be the last method of cure the postoperative complications after laparoscopic surgery in 94.3% of patients. Both relaparoscopic method and laparoscopic intervention are very effective in diagnosis and corrections after surgery complications with minimal trauma for the patient, great care effect and fast social rehabilitation for the patient.