Kitob ta'rifi

The monography presents data on the level of stress hormones in dynamics before, during the main surgical intervention and on the 3rd day after it depending on the selected surgical access according to the developed program for choosing surgical tactics for the treatment of patients with acute destructive cholecystitis, taking into account individual characteristics of the body. There are also data on the use of an improved surgical instrument - a «Wound Expander» for safe cholecystectomy from a mini laparotomy access, which allows to level the risk of intraoperative bleeding and iatrogenic damage to the biliary tract and an optimized specific scale for assessing the quality of life of patients who have undergone cholecystectomy, taking into account the verification of factors affecting the course of the postoperative period and the likelihood of postcholecystectomy syndrome.