RESUMO
Results of surgical treatment of an acute cholecystitis (ACH) in 114 elderly and senile patients with diabetes mellitus were analyzed. In all operated patients histological investigation revealed destructive forms of an ACH, mainly complicated. After the operation in 14 (12.3%) of patients complications occurred. Tactics of treatment was based mainly on securing of adequate correction of carbohydrate metabolism before, during and after performance of operation and also on early performance of cholecystectomy using laparoscopic method, permitting to reduce frequency of postoperative complications occurrence and to lower postoperative lethality.
Assuntos
Colecistite/cirurgia , Diabetes Mellitus/cirurgia , Doença Aguda , Idoso , Idoso de 80 Anos ou mais , Colecistectomia Laparoscópica/métodos , Colecistite/epidemiologia , Diabetes Mellitus/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-OperatóriasRESUMO
The results of treatment of 53 patients with purulent cholangitis were analyzed. In complex of treatment there were applied hemocarboperfusion and nondirect electrochemical oxygenation of the blood. It had promoted the lowering of the endogenic intoxication severity and the oxygen-transporting system of blood improvement.