[Causes of death in acute cholecystitis]. / Prichiny smerti pri ostrom kholetsistite.

Macro- and microscopic alterations of organs in 115 patients dead from acute cholecystitis at the age from 23 to 88 were studied with special reference to clinico-laboratory findings. As a rule, there were changes in several organs, especially in the vessels and heart (99,1%), liver (93,1%), lungs (75,5%), kidneys (63,4%). A conclusion is made that the main causes of death are hepatic insufficiency (65,2%), peritonitis (13,9%), pancreanecrosis (7,8%), thromboembolism (6,1%). Other causes made 7%.

[Tight suturing of the abdominal cavity after cholecystectomy]. / Zashivanie briushnoi polosti naglukho posle kholetsistéktomii.

A comparative analysis of two series of operations for acute and chronic cholecystitis was made. In the first series of operations (289) the abdominal cavity was drained with gauze napkins, in the second series (256 operations) a drainage tube was used or the abdominal cavity was sutured tightly. The authors came to a conclusion that in planned and postponed cholecystectomies tight suture of the abdominal cavity is the method of choice.

[Aanalysis of the causes of high lethality in the surgical treatment of acute cholecystitis]. / Analiz prichin vysokoi letal'nosti pri operativnom lechenii ostrogo kholetsistita.

A comparative analysis of postoperative lethality in acute and chronic cholecystitis, acute appendicitis and cancer of the stomach together with the results of biochemical and morphological studies of the liver are covered here. A direct correlation of postoperative lethality in cholecystitis with the presence and stage of concomitant cholangiohepatitis has been found.