FEATURES OF LAPAROSCOPIC CHOLECYSTECTOMY IN SPECIAL GROUPS OF PATIENTS

Currently, laparoscopic cholecystectomy is the gold standard in patients with symptomatic gallstone disease. About 90% of cholecystectomies are performed laparoscopically due to faster recovery, fewer complications, cost and cosmetic effect. In this study, we evaluated features general, as well obese patients, aged pregnant women. Carrying out LCE elderly, women today does not cause big problems. The main thing take into account characteristics each patient. case careful preoperative preparation vascular, hemodynamic, respiratory status should be carried prevent adverse events. And optimal period for safest surgery second trimester. It also necessary remember that proper consultation obstetricians anesthesiologists. At same time can safely effectively even a high degree obesity showing equally good results compared normal BMI. Laparoscopic safe Child-Pugh A cirrhosis used caution B cirrhosis. For Class C cirrhosis, recommended