THE SYSTEM OF DECISION SUPPORT IN LAPAROSCOPIC SURGERY AND ITS EFFECTVENESS ESTIMATION DURING APPENDECTOMY

The system of decision support for surgeons (SDSS) have been created on the technical basis of existing regional telemedical consultative system. The informational model of SDSS was realized with components on splitting of functional obliges of the participants who were in charge for the delivering of surgical service, and it was extended on behalf of inclusion of the automatic system of laparoscopic images recognition. The last one contained both subsystem of recognition based on precedent logic and subsystem based on context recognition. The unit of expert estimation of the surgical situation as well as the system on score estimation of the patient state in accordance to generally accepted score systems were also included. Also SDSS permitted to perform patients state estimation. The estimation of the effectiveness of SDSS have been performed in 44 patients starting from the moment of entering Odessa Regional Hospital and who complained on the “acute abdomen” state. Those who have been diagnosed as suffered from acute appendicitis after laparoscopic diagnostics have been taken into consideration. Gained data are in favor for the high effectiveness of SDSS, which needs further comprehension and usage under conditions of other nosological forms of surgical diseases.