Clinical and economic justification of icg-cholangiography in «difficult» laparoscopic cholecystectomy

Romashchenko P.N.

Kirov Military Medical Academy

SPIN RSCI: 3850-1792
Scopus AuthorID: 7801595860
ORCID: 0000-0001-8918-1730

Aliev A.K.

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation

ORCID: 0000-0001-5923-8804

Pryadko A.S.

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation;
Leningrad Regional Clinical Hospital

ORCID: 0000-0002-7848-6704

Abasov Sh.Yu.

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation

ORCID: 0000-0002-4324-7818

Maistrenko N.A.

Kirov Military Medical Academy

SPIN RSCI: 2571-9603
Scopus AuthorID: 7004053318
ResearcherID: I-2656-2016
ORCID: 0000-0002-1405-7660

Clinical and economic justification of icg-cholangiography in «difficult» laparoscopic cholecystectomy

Authors:

Romashchenko P.N., Aliev A.K., Pryadko A.S., Abasov Sh.Yu., Maistrenko N.A.

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Journal: Pirogov Russian Journal of Surgery. 2024;(4): 105‑111

DOI: 10.17116/hirurgia2024041105

Downloaded: 10

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To cite this article:

Romashchenko PN, Aliev AK, Pryadko AS, Abasov ShYu, Maistrenko NA. Clinical and economic justification of icg-cholangiography in «difficult» laparoscopic cholecystectomy. Pirogov Russian Journal of Surgery. 2024;(4):105‑111. (In Russ.)
https://doi.org/10.17116/hirurgia2024041105

Подписка 2025 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To prove from a clinical and economic point of view the expediency of using ICG cholangiography in patients with «difficult» laparoscopic cholecystectomy for the prevention of damage to the bile ducts.

MATERIAL AND METHODS

The results of treatment of 173 patients with cholelithiasis at various levels of health care providing were analyzed with regard to assessment of indicators of surgery complexity, developed complications and economic costs.

RESULTS

The effectiveness of the original scale of «difficult» laparoscopic cholecystectomy has been proved. The financial and economic costs of treatment of patients with damage of biliary ducts and patients with cholelithiasis without development of complications have been analyzed and evaluated. A comparative description of financial costs for patients with «difficult» laparoscopic cholecystectomy with the use of ICG-cholangiography has been given. A program on care delivery for patients suffering from cholelithiasis in the conditions of region with regard to safety and economic effectiveness has been developed.

CONCLUSION

The implementation of this program provides the minimization of postoperative complications and fatality at all levels of surgical care delivery. It has been established that a rational approach to reducing the number of biliary ducts damages is their prevention by prediction of «difficult» laparoscopic cholecystectomy and performance of such interventions in medical organizations of III level with the possibility of modern technologies use.

Keywords:

cholecystectomy

laparoscopic cholecystectomy

«difficult» laparoscopic cholecystectomy

medical organizations

damage of biliary ducts

ICG-cholangiography

Authors:

Romashchenko P.N.

Kirov Military Medical Academy

SPIN RSCI: 3850-1792
Scopus AuthorID: 7801595860
ORCID: 0000-0001-8918-1730

Aliev A.K.

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation

ORCID: 0000-0001-5923-8804

Pryadko A.S.

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation;
Leningrad Regional Clinical Hospital

ORCID: 0000-0002-7848-6704

Abasov Sh.Yu.

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation

ORCID: 0000-0002-4324-7818

Maistrenko N.A.

Kirov Military Medical Academy

SPIN RSCI: 2571-9603
Scopus AuthorID: 7004053318
ResearcherID: I-2656-2016
ORCID: 0000-0002-1405-7660

Received:

10.01.2024

Accepted:

15.02.2024

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