Laparoscopic techniques in stage abdominal sanation for common pyoperitonitis

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Larichev A.B.

Iaroslavskaia gosudarstvennaia meditsinskaia akademiia

Pokrovskiĭ E.Zh.

Kafedra obshcheĭ khirurgii Iaroslavskoĭ gosudarstvennoĭ meditsinskoĭ akademii;
Kafedra gospital'noĭ khirurgii Ivanovskoĭ gosudarstvennoĭ meditsinskoĭ akademii

Laparoscopic techniques in stage abdominal sanation for common pyoperitonitis

Authors:

Larichev A.B., Pokrovskiĭ E.Zh.

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Journal: Pirogov Russian Journal of Surgery. 2015;(2): 44‑49

DOI: 10.17116/hirurgia2015244-49

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To cite this article:

Larichev AB, Pokrovskiĭ EZh. Laparoscopic techniques in stage abdominal sanation for common pyoperitonitis. Pirogov Russian Journal of Surgery. 2015;(2):44‑49. (In Russ.)
https://doi.org/10.17116/hirurgia2015244-49

Подписка 2025 (Pirogov Russian Journal of Surgery)

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An experience of treatment of 949 patients with common pyoperitonitis demonstrates that effectiveness of surgical tactics depend on stage of multiorgan dysfunction. Laparoscopy decreases traumatism of additional surgery to diagnostic procedure in 68.1% of cases providing compensation of multiorgan dysfunction. 36.7% of patients with multiorgan dysfunction subindemnification need for stage lavage which is performed successfully by using of laparoscopy. 88.8% of patients in this group recovered. It is necessary to remember that carboxy-peritoneum and its removal during laparoscopic lavage are associated with functional strain of cardiovascular and respiratory system in patients with peritonitis and multiorgan dysfunction decompensation. High risk of irreversible function failure does not allow to implement potential of laparoscopic stage abdominal sanitation. In this situation maximal mortality (91.9%) was observed.

Keywords:

common pyoperitonitis

laparoscopic techniques

abdominal sanation

Authors:

Larichev A.B.

Iaroslavskaia gosudarstvennaia meditsinskaia akademiia

Pokrovskiĭ E.Zh.

Kafedra obshcheĭ khirurgii Iaroslavskoĭ gosudarstvennoĭ meditsinskoĭ akademii;
Kafedra gospital'noĭ khirurgii Ivanovskoĭ gosudarstvennoĭ meditsinskoĭ akademii

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