Articles

Despite the external differences from classical abdominal surgery, laparoscopy is the same surgery, performed according to all classical canons of surgery and in accordance with all surgical requirements and standards.

The purpose of the document is to create a unified classification, standardized algorithm for the diagnosis, examination and treatment of destructive pancreatitis.

Each operation requires preparation - general for all types of endoscopic surgical interventions and special preparation related to a specific operation.

Currently, various methods of introducing contrast agents under laparoscopic control have been developed and introduced into clinical practice: transvesical cholecystocholangiography, laparoscopic transhepatic cholecystocholangiography, laparoscopic hepatocholangiography.

Improving the results of surgical treatment of patients with extreme forms of obesity is also possible with the use of laparoscopic technology, which makes it possible to reduce the trauma of surgical intervention.

Phlegmon of the stomach (phlegmonous gastritis) is a purulent inflammation of the gastric wall with predominant damage to the submucosal layer.

Laparoscopic pancreatoscopy may be performed if malignant lesions of the pancreas are suspected and cannot be excluded by other methods; if indirect visual signs of a pancreatic tumor are detected during laparoscopy; or to perform a targeted biopsy of the pancreas.

Laparoscopic surgeries can be a source of both common surgical complications and complications directly related to the use of laparoscopic techniques and methods.

Radical surgical intervention, unlike traditional open surgery, is performed without wide dissection of the skin under the control of a video monitor through pinpoint tissue punctures.

An analysis of our own experience, literary sources and pathophysiological features of laparoscopic operations allows us to recommend anesthetic support in the form of intravenous general multicomponent and epidural anesthesia for endosurgery.