Peculiarities of diagnosis and treatment of fatty structures torsions in abdominal cavity using laparoscopic approach

Timofeev M.E.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet im. N.I. Pirogova;
Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii;
Kafedra gospital'noĭ khirurgii #2 s NIL khirurgicheskoĭ gastroénterologii i éndoskopii;
Gorodskaia klinicheskaia bol'nitsa #31, Moskva

Fedorov E.D.

Kafedra gospital'noĭ khirurgii #2 i nauchno-issledovatel'skaia laboratoriia khirurgicheskoĭ gastronterologii i ndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova

SPIN RSCI: 6785-9959
Scopus AuthorID: 7004381289
ORCID: 0000-0002-6036-7061

Krechetova A.P.

Municipal clinical hospital №31, Moscow ,Faculty of Fundamental Medicine, Lomonosov Moscow State University

Shapoval’yants S.G.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow

ORCID: 0000-0003-0629-3871

Peculiarities of diagnosis and treatment of fatty structures torsions in abdominal cavity using laparoscopic approach

Authors:

Timofeev M.E., Fedorov E.D., Krechetova A.P., Shapoval’yants S.G.

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Journal: Endoscopic Surgery. 2014;20(5): 13‑16

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To cite this article:

Timofeev ME, Fedorov ED, Krechetova AP, Shapoval’yants SG. Peculiarities of diagnosis and treatment of fatty structures torsions in abdominal cavity using laparoscopic approach. Endoscopic Surgery. 2014;20(5):13‑16. (In Russ.)

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In the paper authors retrospectively analyze case histories of 92 patients (from January 1995 to December 2012), in whom according to the surgery torsion and necrosis of epiploic appendices were revealed, the strands of the greater omentum, preperitoneal lipomas. Clinical and laboratory data in patients with torsion and necrosis of abdominal fatty structures are poor and non-specific, which makes it difficult to diagnose preoperatively. Laparoscopy is the main diagnostic tool for these diseases and allows establishing the correct diagnosis in 97.8% of cases. Laparoscopic treatment in torsion and necrosis of abdominal fatty structures may be formed in 93.3% of cases and have several advantages over laparotomy. Necessity of conversion reaches 6.7%.

Keywords:

epiploic appendices

colon

greater omentum

preperitoneal lipoma

laparoscopy