Gepato-gastroeterologik tadqiqotlar jurnali 2022, №3
Subject of the article
O‘PKA EXINOKOKKOZIDA XIRURGIK TAKTIKA (26-29)
Authors
Murtazaev Z. I.; Baysariev Sh. U.
Institution
Samarqand davlat tibbiyot universiteti
Abstract
Biz o‘pka exinokokkozi bilan 182 nafar bemorning (shulardan, 126 nafari asoratlanmagan va 56 nafari asoratlangan o‘pka exinokokkozi bilan kasallangan ) jarrohlik davolash natijalari tahlilini taqdim etamiz. Belgilangan 25 bemordan faqat 23 nafarida sof torakoskopik usulda exinokokkektomiya qilish imkoniyati bo‘ldi. 134 ta holatda mini-kirish yo‘li orqali videotorakoskopik exinokokkektomiya amalga oshirildi. O‘pkada kistalarning ikki tomonlama lokalizatsiyasi bilan 7 bemorda bosqichma-bosqich operatsiyalar o‘tkazildi, 3 ta (36,36%) holatda esa bir bosqichli exinokokkektomiya bajarildi. 25 bemorda o‘pkadan exinokokkektomiya keng torakotomik kesim orqali amalga oshirildi. Barcha bemorlarga oldingi-yon torakotomiya qilindi. Asosiy (97,67%) holatlarda o‘pkada organ saqlovchi operatsiyalar bajarilish bilan birga fibroz qoldiq bo‘shliq turli modifikatsiyada bartaraf etildi. Kistalarning o‘pkaning chekka qismida joylashuvida va pnevmotsirrozda 2 nafar bemorda o‘pka to‘qimasini exinokokk kistasi bilan birga rezeksiya qilindi. 10 nafar bemorda o‘pka va jigarning qo‘shma exinokokkozi bilan operatsiya qilindi. 6 bemorda bir vaqtning o‘zida alohida kesmalar orqali o‘pka va jigarda jarrohlik aralashuvlar amalga oshirildi. O‘pka exinokokkozida bemorlarning 2/3 qismidan ko‘prog‘ida minimal invaziv usullardan foydalanish mumkin.
Key words
o‘pka exinokokkozi, videotorakoskopik exinokokktomiya.
Literature
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