title: [Acute cholecystitis as a problem of laparoscopic surgery].
abstract: The article deals with experience in 89 operations of laparoscopic cholecystectomy in patients with acute cholecystitis aged 17 to 82 years. A total of 92 attempts were made, 3 patients underwent laparotomy. Forty-five patients had catarrhal, 35 phlegmonous, and 9 gangrenous cholecystitis. In the preoperative period 37 patients were subjected to endoscopic retrograde pancreaticocholangiography, endoscopic papillosphincterotomy was performed in 28 of them, in 9 the operation was complemented by nasobiliary drainage. As a result intraoperative cholangiography had to be conducted only in 3 patients. Intraoperative complications developed in 42 and postoperative in 18 patients (local in 15 and general in 3). There were no fatal outcomes.
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D002764:Cholecystitis / Q000175:diagnosis / Q000601:surgery*; D004322:Drainage; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications
vernacular_title: Ostryĭ kholetsistit kak problema laparoskopicheskoĭ khirurgii.