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CLINICAL AND ECONOMIC EFFICIENCY OF LAPAROSCOPIC OPERATIONS IN EMERGENCY ABDOMINAL SURGERY IN CHILDREN

The data of the analysis of the efficacy of the use of laparoscopic operations in comparison with open surgical interventions for ten years in 8462 children with the acute surgical pathology of the abdominal cavity on the basis of an emergency surgical hospital are presented. Laparoscopic operations were performed in 4984 (59%) patients, and open surgical operations were performed in 3478 (41%) patients. In the treatment of acute surgical pathology in children, laparoscopic operations have been established to provide: low traumatic operative access and manipulation; visual control of all stages of the operation; relief of pain syndrome and intestinal paresis; early recovery of impaired functions and the patient activity; decline in the number of postoperative complications, the prevalence of adhesions; significant reduction in the length of stay in the hospital; excellent cosmetic result. The authors showed the execution of laparoscopic surgical interventions to be economically more profitable if compared with open operations in children.