[SIMULTANT OPERATIONS FOR BILIARY CALCULOUS DISEASE AS A METHOD OF PREVENTION OF POSTCHOLECYSTECTOMY SYNDROME]

Area of Science:

• Gastroenterology
• Surgical Oncology
• Abdominal Surgery

Context:

• Biliary calculous disease often coexists with other abdominal and retroperitoneal conditions.
• Managing these complex cases requires careful consideration of surgical approach.
• The incidence of postcholecystectomy syndrome (PCHES) is a significant concern.

Purpose:

• To analyze the occurrence rate of PCHES in patients with coexisting abdominal diseases.
• To evaluate the impact of simultaneous laparoscopic and laparotomic interventions on PCHES rates.
• To develop a diagnostic-treatment algorithm for PCHES prophylaxis.

Summary:

• Analysis of patient data focused on biliary calculous disease alongside other abdominal pathologies.
• Simultaneous surgical interventions, both laparoscopic and laparotomic, were assessed for their effect on PCHES.
• A novel algorithm incorporating PCHES preventive measures was developed and implemented.

Impact:

• The study established that performing simultaneous operations under strict indications reliably reduces PCHES occurrence.
• The developed algorithm provides a framework for managing complex biliary disease cases and preventing complications.
• This research contributes to optimizing surgical strategies for patients with multiple abdominal conditions.