• Register
  • Login

European Journal of Molecular & Clinical Medicine

  • Home
  • Browse
    • Current Issue
    • By Issue
    • By Subject
    • Keyword Index
    • Author Index
    • Indexing Databases XML
  • Journal Info
    • About Journal
    • Aims and Scope
    • Editorial Board
    • Publication Ethics
    • Indexing and Abstracting
    • Peer Review Process
    • News
  • Guide for Authors
  • Submit Manuscript
  • Contact Us
Advanced Search

Notice

As part of Open Journals’ initiatives, we create website for scholarly open access journals. If you are responsible for this journal and would like to know more about how to use the editorial system, please visit our website at https://ejournalplus.com or
send us an email to info@ejournalplus.com

We will contact you soon

  1. Home
  2. Volume 7, Issue 8
  3. Author

Online ISSN: 2515-8260

Volume7, Issue8

Surgical Treatment Of Acute Calculous Cholecystitis In Patients With Type 2 Diabetes Mellitus

    O.R.Teshaev1, R.M.Madaminov2, B.T.Gafurov3, N.Sh.Khudoyberganova4, M.U.Ismoilov

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1296-1309

  • Show Article
  • Download
  • Cite
  • Statistics
  • Share

Abstract

Research objective: To conduct a comparative analysis of surgical intervention methods in patients with acute calculouscholecystitis associated with type 2 diabetes mellitus and determine the operation of choice.
Materials and methods. The researchinvolved 423 patients with acute calculouscholecystitis aged from 18 to 95 who underwent surgical treatment in the Surgical Department of the City Clinical Hospital No.1 in Tashkent in the period from 2015 to 2019. 195 (46.1%) patients had type 2 diabetes mellitus (25.5%). There were 142 (33.8%) men and 281 (66.2%) women. Laboratory diagnostics included clinical blood analysis, biochemical blood test, determination of glucose, bilirubin, creatinine, blood amylase, ALT, AST, ALP, coagulogram, as well as determination of the blood group and Rh factor.Instrumental diagnostics included ultrasound examination in combination with Doppler. When distributing patients according to the disease severity, the classification of the Tokyo Agreement on acute cholecystitis was applied (Tokyo guidelines (2007, 2013).
Results and discussion. Surgical intervention for acute calculouscholecystitis in patients with type 2 diabetes mellitus in 195 patientsincludedLCE for 104 (53.3%) patients, oblique muscle-splitting mini approach in the right hypochondrium for 91 (46.7%) patients, and open conversion for 4 (3,8 %) patients. The use of the laparoscopic method in the treatment of acute calculouscholecystitis in patients with type 2 diabetes mellitus provided a statistically significant reduction in surgery timing and the degree of intraoperative blood loss. In addition, it also reduced the number of postoperative complications almost two times compared with the open method.
Conclusion. The comparative analysis of the treatment outcomes showed that the application of LCE in diabetic patients has a number of advantages over the open method. Laparoscopic cholecystectomy in patients with acute calculouscholecystitis associated with type 2 diabetes mellitus is the operation of choice.
Keywords:
  • PDF (211 K)
  • XML
(2020). Surgical Treatment Of Acute Calculous Cholecystitis In Patients With Type 2 Diabetes Mellitus. European Journal of Molecular & Clinical Medicine, 7(8), 1296-1309.
O.R.Teshaev1, R.M.Madaminov2, B.T.Gafurov3, N.Sh.Khudoyberganova4, M.U.Ismoilov. "Surgical Treatment Of Acute Calculous Cholecystitis In Patients With Type 2 Diabetes Mellitus". European Journal of Molecular & Clinical Medicine, 7, 8, 2020, 1296-1309.
(2020). 'Surgical Treatment Of Acute Calculous Cholecystitis In Patients With Type 2 Diabetes Mellitus', European Journal of Molecular & Clinical Medicine, 7(8), pp. 1296-1309.
Surgical Treatment Of Acute Calculous Cholecystitis In Patients With Type 2 Diabetes Mellitus. European Journal of Molecular & Clinical Medicine, 2020; 7(8): 1296-1309.
  • RIS
  • EndNote
  • BibTeX
  • APA
  • MLA
  • Harvard
  • Vancouver
  • Article View: 97
  • PDF Download: 347
  • LinkedIn
  • Twitter
  • Facebook
  • Google
  • Telegram
Journal Information

Publisher:

Email:  editor.ejmcm21@gmail.com

  • Home
  • Glossary
  • News
  • Aims and Scope
  • Privacy Policy
  • Sitemap

 

For Special Issue Proposal : editor.ejmcm21@gmail.com

This journal is licensed under a Creative Commons Attribution 4.0 International (CC-BY 4.0)

Powered by eJournalPlus