FAST TRACK SURGERY - MULTIMODAL STRATEGY FOR CALCULOUS CHOLECYSTITIS IN PATIENTS WITH VALVULAR AND CORONARY DEFECTS

Abstract

Aim. To evaluate the effectiveness of the implementation of the Fast Track program in the surgical treatment of cholelithiasis in patients with concomitant valvular and coronary defects. Material and methods. The work is based on the results of the surgical treatment of 21 patients with cholelithiasis with concomitant valvular and coronary defects for the period of2015-2019. The comprehensive preoperative examination included ultrasound examination, electrocardiography, echocardiography, examination of the respiratory functions, chest x-ray, esophagogastroduodenoscopy, CT, MRI (individually), and laboratory research examination. Results. The duration of the surgery averaged 31±10 minutes. There were no cases of intraoperative complications and conversions. The average hospital stay of patients made 2.2±0.8 days. No complications were noted in the early postoperative period. There were no fatal outcomes. Conclusion. The use of the program for accelerated patient rehabilitation - Fast track in patients with cholelithiasis with concomitant valvular and coronary malformations can significantly reduce the length of hospital stay and restore patients to work more quickly without reducing the effectiveness of treatment.