[Surgical treatment of cholelithiasis in elderly and aged patients].
Surgical treatment of cholelithiasis in 485 elderly and aged patients operated from 1991 to 2000 are analyzed. Patients with acute inflammation in the biliary tract underwent surgery after standard conservative therapy during 12-48 hours after hospitalization. Methods of completion of surgery on the biliary tract are proposed: treatment of the bile cyst bed after cholecystectomy associated with lesion of hepatic tissue; methods of external and internal drainage of the major bile ducts and drainage of infrahepatic space through loin. Epidural blocking was used as the main component of combined anesthesia. These methods of surgical treatment in elderly and aged patients reduce number of postoperative complications and shorten hospital stay.
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Borodach
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D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000767:Anesthesia, Epidural; D002763:Cholecystectomy / Q000379:methods*; D002764:Cholecystitis / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D002769:Cholelithiasis / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors