Такая операция (лапаротомическая холецистэктомия) выполняется через разрез в области правого подреберья или по срединной линии живота.
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Поводами для операции выступают следующие состояния:"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"прогрессирующее острое воспаление пузыря;"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"застой желчи в протоках печени с образованием конкрементов;"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"устойчивый болевой синдром на фоне желчекаменной болезни;"}]},{"collapsed":1,"is_list":1,"content":[{"marker":"bullet","level":1,"content":[{"type":"text","text":"образование крупных желчных камней (2,5 см и более);"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"отложение солей кальция в стенках органа;"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"камни в общем протоке."}]}]}],"path":{"items":[{"text":"smclinic.ru"}],"description":{"text":"Медицинская организация"}},"url":"https://www.smclinic.ru/professional-services/operativnaya-gastroenterologiya/kholetsistektomiya-udalenie-zhelchnogo-puzyrya/","headline":"Холецистэктомия (удаление желчного пузыря) - цены в Москве в медицинском центре...","titleLines":1,"shouldWrapFold":false,"noWrapInTextFact":true,"siteSource":{"url":"https://www.smclinic.ru/professional-services/operativnaya-gastroenterologiya/kholetsistektomiya-udalenie-zhelchnogo-puzyrya/","subtitle":{"path":{"items":[{"text":"smclinic.ru"}],"favicon":{"index":3,"pageNumber":0,"size":"m"}}}}}},{"pos":1,"query":"Какие противопоказания к \u0007[холецистэктомии\u0007]?","content":{"type":"rich_fact","visibleItems":[{"content":[{"type":"text","text":"Основные противопоказания к проведению холецистэктомии:"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"1 и 3 триместры беременности;"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"грыжи или спайки в брюшной полости;"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"инфильтрат в зоне шейки желчного пузыря;"}]},{"collapsed":1,"is_list":1,"content":[{"marker":"bullet","level":1,"content":[{"type":"text","text":"заболевания внутренних органов в стадии декомпенсации (сахарный диабет, острый цирроз, панкреатит, язвенная болезнь, др.);"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"нарушения свертываемости крови;"}]},{"marker":"bullet","level":1,"content":[{"type":"text","text":"онкология желчного пузыря."}]}]}],"path":{"items":[{"text":"47lokb.ru"}],"description":{"text":"Медицинская организация"}},"url":"https://47lokb.ru/service/kholetsistektomiya/","headline":"Холецистэктомия в СПБ – цена операции в ГБУЗ ЛОКБ","titleLines":1,"shouldWrapFold":false,"noWrapInTextFact":true,"siteSource":{"url":"https://47lokb.ru/service/kholetsistektomiya/","subtitle":{"path":{"items":[{"text":"47lokb.ru"}],"favicon":{"index":5,"pageNumber":0,"size":"m"}}}}}},{"pos":2,"query":"Основные этапы \u0007[холецистэктомии\u0007]","content":{"type":"suggest_fact","answer":{"answer":"\u0007[Основные\u0007] \u0007[этапы\u0007] \u0007[холецистэктомии\u0007]: операционный доступ ревизия желчного пузыря, гепатодуоденальной связки и дифференцировка ее элементов пересечение и перевязка пузырной артерии катетеризация пузырного протока и выполнение интраоперационной холангиографии пересечение и перевязка культи пузырного протока выделение желчного пузыря из ложа коагуляция или ушивание ложа желчного пузыря."},"source":{"url":"http://elib.usma.ru/bitstream/usma/1568/1/UMK_2019_008.pdf","subtitle":{"path":{"items":[{"text":"elib.usma.ru"}],"favicon":{"index":7,"pageNumber":0,"size":"m"}}}},"url":"http://elib.usma.ru/bitstream/usma/1568/1/UMK_2019_008.pdf"}},{"pos":3,"query":"Какие болезни развиваются после \u0007[холецистэктомии\u0007]?","content":{"type":"rich_fact","visibleItems":[{"content":[{"type":"text","text":"Серьезных осложнений во время операции, по большому счету, четыре – это кровотечение, травма желчных протоков, тромбоэмболия легочной артерии и резидуальный холедохолитиаз."}]},{"content":[{"type":"text","text":"Несмотря на отработанную методику лапароскопической холецистэктомии, исключить их полностью пока не удается даже в клиниках, где накоплен большой опыт выполнения этих операций."}]}],"path":{"items":[{"text":"sechenov24.ru"}]},"url":"https://sechenov24.ru/article/oslozhneniya-posle-udaleniya-zhelchnogo-puzyrya/","headline":"Осложнения после удаления желчного пузыря","titleLines":1,"shouldWrapFold":false,"noWrapInTextFact":true,"siteSource":{"url":"https://sechenov24.ru/article/oslozhneniya-posle-udaleniya-zhelchnogo-puzyrya/","subtitle":{"path":{"items":[{"text":"sechenov24.ru"}],"favicon":{"index":9,"pageNumber":0,"size":"m"}}}}}},{"pos":4,"query":"Чем отличается \u0007[холецистэктомия\u0007] от холецистостомии?","content":{"type":"rich_fact","visibleItems":[{"content":[{"type":"text","text":"Холецистэктомия - \u0007[операция по удалению желчного пузыря\u0007]. 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