DOI: https://doi.org/10.24026/1818-1384.2(27).2009.118262

Хірургічне лікування пацієнтів із жовчнокам'яною хворобою та метаболічним синдромом

О. М. Сироїд

Анотація


117 patients with symptomatic gallstone disease were operated in our clinic from January 2007 to July 2008. The metabolic syndrome (MS) was diagnosed in 50 (42.7%) cases. The patients with MS were older than patients without MS. They had more often arterial hypertension, obesity, steatohepatosis and diabetes mellitus. The laparoscopic cholecystectomy was performed in 40 (80.0%) cases with MS and in 58 (86.6%) cases without MS. The operating time was 30-165 (Me=72.5) min at patients with MS and 40 160 (Me=65.0) min at patients without MS. Postoperative complications were diagnosed in 11 (22.0%) and in four (6.0%) cases respectively. The severe postoperative period caused to prolonged hospital stay of patients with cholelithiasis and MS.

Ключові слова


gallstone disease; surgical treatment; metabolic syndrome

Повний текст:

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Посилання


Grundy S.M. Metabolic syndrome pandemic // Arterioscler. Thromb. Vasc. Biol. — 2008. — Vol. 28. — P. 629-626.

Мамедов М.Н. Значимость метаболического синдрома в клинической практике: диагностические основы и пути медикаментозной коррекции // Новости медицины и фармации. — 2007. — No10 (214). — С. 16-17.

Mendez Sanchez N., Chavez Tapia N.C., Motola Kuba D. et al. Metabolic syndrome as a risk factor for gallstone disease // World J. Gastroenterol. — 2005. — Vol. 11, No11. — P. 1653-1657.

Осложнения в хирургии живота: Руководство для врачей / В.В. Жебровский, А.Д. Тимошин, С.В. Готье и др. — М., 2006. — 448 с.

Noordzij P.G., Eric Boersma E., Schreiner F. et al. Increased preoperative glucose levels are associated with perioperative mortality in patients undergoing noncardiac, nonvascular surgery // Europ. J. Endocrinol. — 2007. — Vol. 156, No1. — P. 137-142.

Liu B., Balkwill A., Spencer E., Beral V. Relationship between body mass index and length of hospital stay for gallbladder disease // J. Public Health. — 2008. — Vol. 30, No2. — P. 161-166.


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© Клінічна ендокринологія та ендокринна хірургія.

ISSN: 1818-1384 (Print), e-ISSN: 2519-2582, DOI: 10.24026/1818-1384.

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