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Khirurgii

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Year 2023 Vol. 31 No 3

REVIEWS

N.V. LEBEDEV, A.E. KLIMOV, A.P. BELYAKOV, V.S. SHADRINA

LAPAROSCOPIC OPERATIONS OF GENERALIZED SECONDARY PERITONITIS

Peoples’ Friendship University of Russia. Moscow, Russian Federation

Currently, mortality in generalized peritonitis remains high, reaching 20-30%, and with the development of septic shock it increases to 70-90%. Surgeons actively discuss the choice of approach for generalized peritonitis based on intraoperative findings and the severity of the patient’s condition. The paper presents the results of studies and opinions of domestic and foreign surgeons on the possibility of performance laparoscopic operations in patients with generalized peritonitis. Despite the fact that world surgery has accumulated extensive experience in performance laparoscopic operations in patients with generalized peritonitis, the inconsistency of literature data, and that is the most important, the lack of a generally accepted approach in determining the criteria for choosing surgical access and reasonable indications and contraindications for performing laparoscopic surgery let talking about the relevance of this problems. A possible solution of this problem can be the creation of a scale, the combined criteria of which (local and general) will allow, at leastapproximately, to select the surgical approach in patients with generalized peritonitis.

Keywords: widespread peritonitis, laparoscopic operations, indications, contraindications
p. 240-249 of the original issue
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Address for correspondence:
123060, Russian Federation,
Moscow, Marshal Biryuzov st., 22, (3), 84
Russian University of Friendship
Narodov, Department of Faculty Surgery,
Tel. 1359125, tel. 89175989015.
E-mail: nickl55@mail.ru.
Lebedev Nikolay V.
Information about the authors:
Lebedev Nikolay V., MD, Professor. Department of Faculty Surgery of the Peoples’ Friendship University of Russia. Moscow, Russian Federation.
https://orcid.org/0000-0002-7745-1390
Klimov Aleksey E., MD, Professor, Head of the Department of Faculty Surgery of the Peoples’ Friendship University of Russia. Moscow, Russian Federation.
https://orcid.org/0000-0002-0001-8003
Belyakov Aleksey P., Post-Graduate Student of the Department of Faculty Surgery of the Peoples’ Friendship University of Russia. Moscow, Russian Federation.
https://orcid.org/0000-0002-4368-8648
Shadrina Valentina S., Post-Graduate Student of the Department of Faculty Surgery of the Peoples’ Friendship University of Russia. Moscow, Russian Federation.
https://orcid.org/0000-0003-1992-939X
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