[Treatment of calculous cholecystitis, complicated by obturational jaundice].
Results of surgical treatment of 52 patients for chronic calculous cholecystitis, complicated by cholelithiasis, were studied. In 26 (50%) patients as a first stage of treatment there was applied endoscopic papillosphincterotomy (EPST) and transpapillary endobiliary manipulations and then--laparoscopic cholecystectomy (CHE). In 13 (25%) patients as the first stage of treatment EPST and transpapillary endobiliary manipulations were performed, and as the second one--CHE through laparotomy. In 13 (25%) patients there were performed an open CHE. choledocholithotomy and one of variants of the biliary ducts drainage. In chronic calculous cholecystitis, complicated by cholelithiasis, the optimal treatment consists of complex endoscopic treatment. The combined and standard surgical tactic are indicated when application of endoscopic technologies is impossible.
Poteriakhin
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001663:Bilirubin / Q000097:blood; D002763:Cholecystectomy / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D041761:Cholecystolithiasis / Q000097:blood / Q000150:complications / Q000601:surgery*; D042883:Choledocholithiasis / Q000097:blood / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000097:blood / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult
D001663:Bilirubin