Surgical treatment of chronic calculous cholecystitis and its complications

Introduction of endoscopic and laparoscopic methods in surgical treatment of chronic calculous cholecystitis and its complications has changed not only the character of surgical interventions, but the surgical policy as well. The operation of choice in uncomplicated calculous cholecystitis is laparo...

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Bibliographic Details
Published inHirurgija (Moskva) no. 1; p. 8
Main Authors Movchun, A A, Koloss, O E, Oppel', T A, Abdullaeva, U A
Format Journal Article
LanguageRussian
Published Russia (Federation) 1998
Subjects
Aged
Aged, 80 and over
Bile Duct Diseases - etiology
Bile Duct Diseases - surgery
Cholecystectomy - adverse effects
Cholecystectomy - methods
Cholecystitis - etiology
Cholecystitis - surgery
Cholelithiasis - complications
Cholelithiasis - surgery
Chronic Disease
Humans
Postoperative Complications
Retrospective Studies
Treatment Outcome
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Summary:Introduction of endoscopic and laparoscopic methods in surgical treatment of chronic calculous cholecystitis and its complications has changed not only the character of surgical interventions, but the surgical policy as well. The operation of choice in uncomplicated calculous cholecystitis is laparoscopic cholecystectomy, which whenever indicated, is advisable to be combined with other surgical interventions allowing the recovery from the concomitant surgical diseases. In complicated calculous cholecystitis in dependence on the character of bile ducts disorder and patient's condition, 3 versions of surgical interventions are possible: one stage radical correction of all pathologic changes of the biliary tract and surgical treatment, including 2-3 separate, less traumatic and more tolerable procedure. The choice of optimal policy of treatment reduces the risk of operation, decreases postoperation mortality rate and complications.
ISSN:0023-1207