Izindlela zesimanje ukuhlinzwa op - cholecystectomy laparoscopic

Kabanzi ukusebenza ngo kwansuku kuhlinzwa umkhuba laparoscopic cholecystectomy okwamanje ukusebenza ethandwa kakhulu ukwenziwa ipheshana biliary. Izinzuzo undoubted yalesi ukwelashwa kuhlinzwa kunganciphisa kuphele isikhathi ukuvuselelwa nasezinkingeni ezilandela ngemva kokuhlinzwa, futhi ukusheshisa nokuvulwa nesineke. Ubungozi yezinkinga ngendlela ukuziphatha ngesikhathi esifanele leyo misebenzi phezu kwesinye nenyongo kuyinto ephansi kakhulu kunalokho amasu classical kuhlinzwa.

Kungani ithandwa kangaka laparoscopic ukuhlinzwa nenyongo sesinye?

idatha izibalo zibonisa ukuthi cholecystectomy laparoscopic wenziwa ezingasho njalo ngonyaka - ngeshwa, inani leziguli kanye zokugula acute kuhlinzwa kwesinye nenyongo lukhula. imisebenzi enjalo kabanzi ekwelapheni isifo gallstone okwenzeka ngemuva cholecystitis wakhe, kungakhathaliseki ukuthi injalo. Iningi lodokotela abahlinzayo lanamuhla wathi ukuthi ukuhlinzwa nenyongo sesinye kufanele kwenziwe njalo kuzo zonke iziguli amatshe kulolu cwaningo, kuthiwa awekho amenable yokwelapha olandelanayo - akusenzi ngobukhulu noma ethuthuka ngisho ekumisweni izidakamizwa ukuthi chaza amatshe.

Naphezu kweqiniso lokuthi ukuhlinza enjalo idinga izinzwa, usebenzisa le ndlela kunciphisa isikhathi yokusebenza njalo iyehlisa inani ukopha. Isici nobuntu cholecystectomy laparoscopic kuyinto invasiveness yayo incane khona, futhi ngenxa yalokho ekululameni kwesiguli nasezinkingeni ezilandela ngemva kokuhlinzwa lula kakhulu. ukuhlinzwa Laparoscopic kudinga ukusetshenziswa imishini ekhethekile ezibizayo, kodwa imiphumela umxhwele ukwelashwa neqhaza ukwamukelwa okwandile yalokhu kungenelela.

Ukuze isiguli, kubalulekile ukuze wehlise isikhathi esidingekile alulame - uma usebenzisa le ndlela izikhathi eziningana kunciphisa ubude ukuhlala esibhedlela, futhi nesigqi somqondo ezivamile zokuphila abantu ubuya ngokushesha kakhulu.

Izinkomba kanye contraindications ngoba cholecystectomy laparoscopic

Inkinga eyinhloko nokuqhutshwa, kanye ukusebenza kokungenela endoscopic ezithweni besisu, kuyinto peritonitis noma ukuthola izimpawu okuyinto akhombise ukuthi kungenzeka kakhulu ekuthuthukeni kwale inkinga. Yingakho odokotela abahlinzayo bathi cholecystectomy laparoscopic kufanele kuhle kwenziwe ngaphandle esigabeni acute zesifo - kulesi simo ingozi yezinkinga ukonakala kuyehla izikhathi eziningana. Ngeshwa, exacerbations ka peritonitis okungamahlalakhona, nzima ukuthuthukiswa choledocholithiasis noma empyema kwesinye inyongo udokotela ohlinzayo has ukuba ngokuhamba ukusebenza ukuhambisa kusukela ukufinyelela laparoscopic a ububanzi kokungenela cavitary, futhi esikhathini postoperative - ukuqhuba ukwelashwa eside futhi ukubuyisela ngobugebengu imisebenzi ebalulekile zomzimba.

cholecystectomy Laparoscopic okwamanje uhlala ukwelashwa ezinkulu kuhlinzwa beskalkuleznogo cholecystitis acute, amatshe atholakala enyongweni, gallbladder polyp - zonke izimo okuyiwona ukususwa kumele kube olukhulu uhlaka isimiso sokugaya ukudla bungene. Kumele kukhunjulwe ukuthi lesi kokungenela akudingi ukulungiselela ekhethekile preoperative isiguli - uhlelo evamile ezimweni ezinjalo, laboratory kanye luhlolo wezinsimbi uhlala ingashintshiwe. Waba yini umphumela wesibindi ukuphathwa iyona ukululama ngokushesha isiguli emva ukuphazamiseka ubuncane futhi isici yezimonyo of isikhumba anterior udonga besisu, okwenza le nqubo ithandwe.