[Differentiated surgical tactic in patients with an acute biliary pancreatitis and the jaundice syndrome].
The outcome was analyzed in 466 patients, treated for an acute pancreatitis in 1997--2003 yrs. In 187 (40.1%) of patients the jaundice had occurred. The surgical tactic was elaborated, depending on the jaundice origin. The extrahepatic biliary ducts pathology have had constituted the acute pancreatitis etiology in 119 (64%) patients and the alimentary causes--in 68 (36%). The predominant application of miniinvasive methods, such as endoscopic papillosphincterotomy with lithoextraction, laparoscopic cholecystectomy, transcutaneous puncture-draining interventions under ultrasonographic control, was based on the proved evidence of efficacy of the staged surgical treatment in patients with biliary acute pancreatitis and the jaundice syndrome; open method was used according to indications.
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000150:complications* / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004322:Drainage; D019160:Endosonography; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000209:etiology / Q000601:surgery*; D016717:Sphincterotomy, Endoscopic; D013577:Syndrome; D016896:Treatment Outcome