CHOICE OF TREATMENT TACTICS OF COMPLICATED FORMS OF CHOLELITHIASIS IN ELDERLY AND SENILE AGE
DOI:
https://doi.org/10.11603/2414-4533.2015.2.5226Abstract
The article adduces the results of surgical treatment of 380 patients with complicated forms of the gallstone disease (GSD). The complicated course of an acute calculous cholecystitis was observed in 149 (39.2 %) patients, and chronic one was in 136 (35.8 %) patients. Bile duct pathology was diagnosed in 95 (25.0 %) patients. Мinimally invasive surgical interferences were performed in 320 (84.2 %) patients, and open surgical interferences were performed in 60 (15.8 %) patients. Complications following after minimally invasive surgical interferences were observed in 4 (1.2 %) cases, and after open surgical interferences were in 6 (10.0 %) cases. 2 (3.3 %) patients died. The results of the study demonstrated that minimally invasive surgical interferences in complicated forms of the GSD in elderly and senile patients are with highest priority.
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