New information technologies in intra-operative complications prophylaxis of laparoscopic operations in the abdominal organs emergent surgery
The paper presents the experience of the surgical operations with application of laparoscopic technology from November, 1993 till December 2005 in 3836 patients with an acute surgical pathology of the abdominal cavity organs. The first group includes 3604 patients who have undergone laparoscopy for diagnostic or medical purposes. Wide possibilities of laparoscopy in diagnosis and treatment of acute surgical diseases have been shown; at the same time the number of complications while performing emergent laparoscopy comprises from 2.2 to 9%; lethality rate - 0.1%. Till now, the performed literature analysis of intra- and post-operative complications has been based only on the principles accepted in the open surgery. The given researches have been based on understanding the fact that maximally accurate reproduction of the operation process with its analysis has to become a new strategy to prevent and diagnose earlier the possible complications. The second group is composed of 332 patients in whom laparoscopic operations have been performed by means of the hardware-software complex of remote control (HSC) connection. The given system is constructed on the basis of modern information technologies and unites the diagnostic and operational equipment which permits to receive efficiently the reliable information from the operating rooms; the registration devices and devices for data reflection; and also the computer technical devices. The authors consider the application of new information technologies in laparoscopic operations to be rather promising. The given method has allowed a significant decrease of intra-operative complications.