RESUMO
Objective To investigate the diagnosis,therapeutic method and choice of operative opportunity in patients with acute cholangitis.Method s We conducted a retrospective analysis of 142 patients with AC treated in our hospital from 2006 to 2010,of all acute cholangitis of severe type occurring in 34 patients.Results The cure rate of surgery group was much better than non-surgery group,and the death rate of emergency surgery group was much lower than elective surgery group.Conclusion The surgical treatment given to the patients with AC,especially ACST in early,was the effective method to cure thoroughly and decrease the mortality rate.
RESUMO
Objective To explore the clinical features and surgical management of aged patients with acute cholecystitis,and try to command the opportunity and procedure of laparoseopic cholecystectomy(LC)better.Meth- ods Clinical data of 52 aged cases with acute cholecystits undergone LC were analyzed retrospectively.Results All of the patients(within 48h of the acute attack)were successfully recovered without serious operative complications. Conclusion Aged acute cholecystitis progressed rapidly and its operative difficulty and risk were higher;only if more attention was paid to perioperative managements and operative time and technical skill were mastered,early LC for the patients was safe and feasible.Therefore.it should be recommended in the great majority of cases except the des- perate patients whose general condition was too poor to operate.