[The optimal drainage of the bile ducts and subhepatic recess in the surgical treatment of complicated cholecystitis].
On the basis of the analysis of the results of surgical treatment of 478 patients with complicated cholecystitis, it was established that the Robson-Vishnevsky method (95 cases) was the optimal one for drainage of the bile ducts after diagnostic (19) or therapeutic (115) choledochotomy, and that of Halsted-Pikovsky (9)--in manipulations through the cystic duct. Drainage of the subhepatic space by means of a rubber tube drain is effective. The methods for active decompression and transdrain therapeutic measures used in presence of purulent-inflammatory process in the bile ducts, or subhepatic space are presented.
Andriushchenko
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001652:Bile Ducts / Q000601:surgery*; D002761:Cholangitis / Q000209:etiology / Q000601:surgery; D002763:Cholecystectomy; D002764:Cholecystitis / Q000150:complications / Q000601:surgery*; D002768:Choledochostomy; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008099:Liver / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016717:Sphincterotomy, Endoscopic
Optimal'noe drenirovanie zhelchnykh protokov i podpechenochnogo uglubleniia v khirurgicheskom lechenii oslozhnennogo kholetsistita.