CHANGES IN HEPATIC HEMODYNAMICS IN PATIENTS WITH CALCULOUS CHOLECYSTITIS IN EARLY POSTOPERATIVE PERIOD

E R Ganeeva; A V Popov; A I Ershova

doi:10.17816/pmj30337-40

Perm Medical Journal ›› 2013, Vol. 30 ›› Issue (3) :37 -40. DOI: 10.17816/pmj30337-40

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CHANGES IN HEPATIC HEMODYNAMICS IN PATIENTS WITH CALCULOUS CHOLECYSTITIS IN EARLY POSTOPERATIVE PERIOD

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Abstract

Aim. To study the dynamics of perioperative changes in intrahepatic blood flow after cholecystectomy depending on clinical course of disease in patients with cholecystitis. Materials and methods. Intrahepatic blood flow was studied in 52 patients prior to cholecystectomy on the days 7 and 12 after the surgery using bioimpedance computer system “Polyrheocardiograph-01 Perm” with functional load. Results. Cholecystectomy in patients with latent and dyspeptic forms of calculous cholecystitis is accompanied by more adequate compensatory response of microcirculatory hepatic bed than in patients with clinical cholecystolithiasis symptoms. Conclusion. Cholecystectomy in patients with latent and dyspeptic forms of calculous cholecystitis is accompanied by normalization of intrahepatic circulation. In patients with pain form, compensatory arterialization of hepatic blood flow is formed. Operative intervention in patients with destructive cholecystitis is a risk factor for developing intrahepatic blood flow shunting and postsinusoidal hypertension.

Keywords

Imedansometry / intrahepatic hemodynamics / calculous cholecystitis / colecystectomy

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E R Ganeeva, A V Popov, A I Ershova. CHANGES IN HEPATIC HEMODYNAMICS IN PATIENTS WITH CALCULOUS CHOLECYSTITIS IN EARLY POSTOPERATIVE PERIOD. Perm Medical Journal, 2013, 30(3): 37-40 DOI:10.17816/pmj30337-40

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