[Cholecystectomy from mini-approach with the elements of open laparoscopic technique in surgical treatment of XXXX ].

@entity1 @entity154 @entity2963 @entity2679 @entity158 @entity2877
The experience and the technique of cholecystectomy from mini-approach with elements of open laparascopic technique (MSE) in 102 @entity1 with @entity2877 and @entity2679 is descubed. In 99 cases the operation was carried out for chronic @entity2679 , in 3 cases--for acute @entity2679 . The @entity1 were aged from 23 to 76 years (mean age 59.3 +/- 3.4 years). The average length of the incision in performing MSE made up 4.1 +/- 0.3 cm. Mean duration of the operation 42.4 +/- 5.3 min. In 5 cases (4.9%) intraoperative cholangiography was performed. The possibility to avoid the use of narcotic analgetics in postoperative period in @entity1 who underwent MSE is demonstrated. Postoperative period made up 3.8 days. Social and cost-effect aspects of different modes of surgical treatment of @entity1 with @entity2963 are considered. The study of quality of life index makes it possible to come to conclusion about quicker return of the @entity1 who underwent MSE to their habitual social and intellectual activities, practically complete absence of the influence of negative factors of conventional treatment ( @entity158 , dyspepsial, @entity154 ) higher appreciation of their health conditions, well being, which manifests in higher quality of life in operated @entity1 .
