CHOICE OF TREATMENT TACTICS OF COMPLICATED FORMS OF CHOLELITHIASIS IN ELDERLY AND SENILE AGE

Authors

  • О. Ye. Kanikovskyi
  • Ya. V. Karyi
  • Yu. V. Babiychuk

DOI:

https://doi.org/10.11603/2414-4533.2015.2.5226

Abstract

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.

References

Гойда С. М. Тенденції поширеності жовчнокам’яної хвороби серед населення України / С. М. Гойда // Український медичний часопис. – 2011. – № 4. – С. 112–113.

Грубник В. В. Особенности лапароскопических вмешательств у больных с калькулёзным холециститом на фоне цирроза печени / В. В. Грубник, А. Л. Ковальчук, А. С. Дюжев // Клінічна хірургія. – 2007. – № 1. – С. 16–19.

Ковальчук О. Л. Прогнозування ускладнень при виконанні лапароскопічної холецистектомії у хворих на цироз печінки / О. Л. Ковальчук, В. В. Грубник // Шпитальна хірургія. – 2010. – № 3. – С. 8–12.

Кондратенко П. Г. Лапароскопическая холецистэктомия после острого гнойного холангита желчнокаменной этиологии: индивидуализированный либо протокольный подход?/ П. Г. Кондратенко, Ю. А. Царульков // Український журнал хірургії. – 2011. – № 4 (13). – С. 205–210.

Leung E. Biloenteric fistula et laparoscopic cholecystectomy: rewiev of ten year’s experience / Е. Leung, Р. Kumar // Surgeon. – 2010. – Vol. 8, № 2 – P. 67–70.

Published

2015-11-13

How to Cite

Kanikovskyi О. Y., Karyi, Y. V., & Babiychuk, Y. V. (2015). CHOICE OF TREATMENT TACTICS OF COMPLICATED FORMS OF CHOLELITHIASIS IN ELDERLY AND SENILE AGE. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2). https://doi.org/10.11603/2414-4533.2015.2.5226

Issue

Section

EXPERIENCE OF WORK