ABSTRACT
Using minimally invasive methods of sanitation of bile ducts in 456 patients with high operative risk reduced the number of postoperative complications to 11%, lethality to 1.3%. Two-stage treatment with surgical intervention by means of laparotomy was necessary in 124 patients. In this group of patients the frequency of complications was 32.3%, and lethality--4.8%.
Subject(s)
Cholelithiasis/surgery , Acute Disease , Age Factors , Aged , Cholelithiasis/complications , Cholelithiasis/mortality , Follow-Up Studies , Humans , Laparoscopy , Middle Aged , Minimally Invasive Surgical Procedures , Postoperative Complications , Risk Factors , Time FactorsSubject(s)
Pancreatitis/etiology , Acute Disease , Biliary Tract Diseases/complications , Duodenal Diseases/complications , Female , Humans , Ischemia/complications , Liver Diseases/complications , Male , Pancreas/blood supply , Pancreas/injuries , Pancreatitis/chemically induced , Pancreatitis, Acute Necrotizing/etiology , Postoperative Complications/etiology , Stomach Diseases/complicationsSubject(s)
Biliary Tract Diseases/surgery , Biliary Tract Surgical Procedures/methods , Laparoscopy/methods , Acute Disease , Aged , Biliary Tract Diseases/mortality , Biliary Tract Surgical Procedures/mortality , Chronic Disease , Drainage , Evaluation Studies as Topic , Female , Humans , Laparoscopy/mortality , Male , Middle Aged , Risk FactorsABSTRACT
The authors made an analysis of early operations on 6076 patients. This tactics used in 84.3% of the patients allowed to reduce postoperative lethality up to 2.5%.
Subject(s)
Cholecystectomy/methods , Cholecystitis/surgery , Acute Disease , Aged , Cholecystectomy/mortality , Cholecystitis/mortality , Emergencies , Humans , Middle Aged , Time FactorsSubject(s)
Cholecystitis/pathology , Gallbladder/pathology , Aged , Emphysema , Humans , Male , Middle Aged , NecrosisABSTRACT
Valuable diagnostic and curative potentialities of fibrocholangioscopy were shown by using the method in the treatment of 50 patients. Fibrocholangioscopy can better differentiate various forms of cholangitis thus determining the mode of finishing choledochotomy. Fibrocholangioscopy is recommended as a method of examining for operations on bile ducts.
