PREDICTION OF LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH COMPLICATED FORMS OF ACUTE CHOLECYSTITIS

Introduction. The introduction into the surgical practice of laparoscopic techniques has led to the fact that today laparoscopic cholecystectomy is the standard surgery, but mistakes made in the diagnostic phase, creating not only the danger of its performance, but also lead to complications.

The purpose of the study. Definition of the role of sonographic criteria in choosing the method of surgery in acute cholecystitis, complicated by paravesical infiltrate.

Materials and methods. The analysis of 235 sonographies of patients with acute cholecystitis, complicated with paravesical infiltrate.

The results of the study. Sonographic study conducted to identify paravesical infiltrate showed their high qualitative assessment and on the basis of determining the density of infiltration is possible to determine the indications for laparoscopic cholecystectomy.

Conclusions. Analyzed results of our research allow us to conclude that the ultrasonography is an important preoperative diagnostic study, contributing not only to reduce the dangers of laparoscopic cholecystectomy, but complications during operation.