CLINICAL PERFORMANCE MINIMALLY INVASIVE INTERVENTIONS IN THE SURGICAL TREATMENT OF COMPLICATIONS OF CHOLELITHIASIS

The paper analyzes the results of surgical treatment of 83 patients with acute cholecystitis and choledocholithiasis. Staged surgical treatment with the use of preliminary decompressive interventions on the bile ducts made it possible to stop the phenomena of cholestasis and purulent intoxication, improve the results of radical operations. At the same time, 81.8% of patients with severe, 61.6% of moderate severity and 24.1% with mild severity of acute purulent cholangitis needed to use diapeutic and endoscopic transduodenal interventions. Optimization of the tactical and technical aspects of the complex surgical treatment of patients with acute cholecystitis and choledocholithiasis complicated by acute purulent cholangitis made it possible to significantly reduce postoperative purulent-septic and cholemic complications to 12.1%, mortality to 2.4%.

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