[Diagnosis and treatment of acute cholecystitis complicated by local peritonitis]. / Diagnostika i lechenie ostrogo kholetsistita, oslozhnennogo mestnym peritonitom.

The article analyses 610 patients with acute cholecystitis complicated by circumscribed peritonitis which determines the results of surgical treatment in many patients. The clinical manifestations of circumscribed peritonitis complicating destructive cholecystitis are discussed. It is shown that laparoscopy plays a role in the early diagnosis of atypical or asymptomatic course of this complication, particularly in elderly and old-aged patients. Data on the surgical treatment of acute cholecystitis complicated by localized circumscribed and ++non-circumscribed peritonitis are presented. The authors show the possibility of choosing the optimal operation--laparoscopic drainage of the gallbladder and abdominal cavity--in the first stage of treatment of patients with phlegmonous cholecystitis and localized ++non-circumscribed peritonitis in the presence of serious concomitant diseases.

[Late results of endoscopic papillosphincterotomy in patients with non-neoplastic diseases of the common bile duct]. / Otdalennye rezu'ltaty éndoskopicheskoi papillosfinkterotomii u bo'lnykh c neopukholevymi zabolevaniiami obshchego zhelchnogo protoka.

An investigation of long-term results of treatment of 226 patients has shown that endoscopic papillosphincterotomy is a highly effective method of treatment of patients with cholelithiasis and stenosis of the major duodenal papilla. The complex use of the surgical and endoscopic methods of treatment gave most favorable results.

[Acute cholecystitis and its complications]. / Ostryi kholetsistit i ego oslozhneniia.

The results of operative treatment of 4,011 patients with acute complications of cholecystitis are analysed. Problems of diagnosis and tactics and the results of treatment are discussed. It is pointed out that the management of patients with acute complicated cholecystitis is a great and urgent problem in abdominal surgery in view of the diffuse character of the process.