A.V. Sazhin
Pirogov Russian National Research Medical University
G.B. Ivakhov
Pirogov Russian National Research Medical University & ,V.S. Savel’ev University Faculty Clinic, Moscow, Russia
E.A. Stradymov
Pirogov Russian National Research Medical University & ,V.S. Savel’ev University Faculty Clinic, Moscow, Russia
V.A. Petukhov
Department of faculty surgery named after S.I. Spasokukotskyi, School of general medicine, Pirogov Russian National Research Medical University, Moscow, Russia
S.M. Titkova
Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia
Journal: Pirogov Russian Journal of Surgery. 2020;(3): 13‑21
Views: 2110
Downloaded: 70
To cite this article:
Sazhin AV, Ivakhov GB, Stradymov EA, Petukhov VA, Titkova SM. . Pirogov Russian Journal of Surgery.
2020;(3):13‑21. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202003113
Objective. To compare the results of open and laparoscopic interventions for PGDU complicated by advanced peritonitis. Material and methods. A retrospective analysis enrolled 172 patients with PGDU who underwent surgery for the period 2014—2016. The research was performed at the bases of the Department of Faculty-Based Surgery No. 1 of the Medical Faculty of the Pirogov Russian National Research Medical University. Further analysis enrolled 138 patients in accordance with inclusion and exclusion criteria (laparoscopic intervention — 116 patients, open surgery — 22). Propensity score matching (pseudorandomization) was applied after comparative analysis of patients’ characteristics and treatment outcomes in order to ensure maximum comparability of both groups. Results. Length of hospital-stay (7.1 vs. 9.8 days), incidence of extra-abdominal complications (6.3%. vs. 41.2%) and adverse events Clavien—Dindo grade II (6.3% vs. 35.3%) were significantly lower after minimally invasive surgery (p<0.05). Conclusion. Analysis of comparable groups of patients with PGDU complicated by peritonitis revealed that laparoscopic surgery is accompanied by significantly lower incidence of extra-abdominal postoperative complications and shorter hospital-stay compared with open surgery. Mortality and incidence of intra-abdominal postoperative complications were similar in both groups.
Keywords:
Authors:
A.V. Sazhin
Pirogov Russian National Research Medical University
G.B. Ivakhov
Pirogov Russian National Research Medical University & ,V.S. Savel’ev University Faculty Clinic, Moscow, Russia
E.A. Stradymov
Pirogov Russian National Research Medical University & ,V.S. Savel’ev University Faculty Clinic, Moscow, Russia
V.A. Petukhov
Department of faculty surgery named after S.I. Spasokukotskyi, School of general medicine, Pirogov Russian National Research Medical University, Moscow, Russia
S.M. Titkova
Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia
List of references:
Close metadata
Email Confirmation
An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.
Email Confirmation
Log in to the site using your account in one of the services
We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.