The tactics choice of surgical treatment of patients with the acute cholecystitis complicated by choledocholithiasis and obstructive jaundice
Abstract
We have used the improved estimation card of physiological condition severity for the objective evaluation of physiological condition severity of patients with acute cholecystitis complicated by choledocholithiasis and obstructive jaundice. This card has 39 risk factors, each of which corresponds to certain points. The patients are subdivided into 4 categories by physiological condition severity by points summing of factors of operational risk. The algorithm of treatment was developed for each category of physiological condition severity and the predicted outcome depending on the form of acute cholecystitis. The improved medical tactics showed the decrease of postoperative complications to 16,5 % and postoperative lethality rate to 4,7 %.
About the Authors
A. P. Petrov
РБ№2 – ЦЭМП;
СВФУ им. М.К. Аммосова
Россия
Россия
M. M. Vinokurov
МИ СВФУ им. М.К. Аммосова
Россия
Россия
References
1. Alexeev N.A. Minimally invasive methods in choledocholithiasis treatment / N.A.Alexeev, J.V.Snigirev //15th Moscow international congress on endoscopic surgery. B.V. Petrovsky RSCS, RAMS, Problem commission «Endoscopic surgery»: thesis collection / edit. by prof. J.I. Gallinger. - M., - 2011. – p. 10-12.
2. Actual problems of transpapilla endoscopic surgery / A.S. Balalykin [et al.] // Endoscopic surgery. - 2007. - № 5. – p. 25-32.
3. Vinokurov M.M. Acute cholecystitis: ways of improvement of results of surgical treatment / M.M. Vinokurov.- Novosibirsk: Nauka, 2002. - 67 p.
4. Zatevakhin I.I. Acute cholecystitis: diagnostics and treatment / I.I. Zatevakhin, M.S. Tsitsiashvily, G.Zh. Dzarasova // RSМU Bulletin. - 2000. - №3. - p. 21 – 26.
5. New technologies for mechanical benign genesis jaundice / A.V. Gusev, I.N. Borovkov, C.T. Martinsh, E.V. Gusev, E.Z. Pokrovsky, E.J. Evtihova // Annals of surgical hepathology. - 2008. - V. 13.- № 1. - p. 72-75.
6. Prudkov M. I. Prospects of small invasive surgery and problems of tool manufacture / M.I. Prudkov, S.A. Zaikov //New technologies in diagnostics and surgery of organs of biliopancreas-duodenal zone (materials of the international conference on November, 16-17th, 1995).- M., - 1995. - p. 111 – 112.
7. Savelyev V. S. Acute cholecystitis / B.C. Savelyev, M.I. Filimonov // Management on urgent surgery of abdominal cavity organs / Editor V.S. Savelyev. – M.,- “Triada-X”. - 2006. - p. 327-365.
8. Hawasli A. Management of choledocholithiasis in the era of laparoscopic surgery / A. Hawasli, L. Lioid, B. Cacucci // Am. Surg. - 2000. - May. Vol. 66, № 5. - P. 425-430, discussion P. 430-431.
Review
For citations:
Petrov A.P., Vinokurov M.M. The tactics choice of surgical treatment of patients with the acute cholecystitis complicated by choledocholithiasis and obstructive jaundice. Yakut Medical Journal. 2011;(4):42-45.
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