Surgical tactics in patients with cholecystitis complicated by bilirubinemia

Basing on experience of treatment of more than 11 000 patients there were analyzed its results in 248, who were admitted to the hospital in emergency for an acute cholecystitis and raising of a bilirubin level from 29.54 to 167.16 micromol/l. Miniinvasive tactic was applied, surgical treatment was d...

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Veröffentlicht in:	Klinična hìrurgìâ (Kiïv) 2013-05 (5), p.18-20
Hauptverfasser:	Baulina, E A, Nikolashin, V A, Baulin, A A, Nikolashin, O A, Baulin, V A
Format:	Artikel
Sprache:	rus
Schlagworte:	Bilirubin - blood Cholangiopancreatography, Endoscopic Retrograde - methods Cholangiopancreatography, Endoscopic Retrograde - statistics & numerical data Cholecystectomy, Laparoscopic - methods Cholecystectomy, Laparoscopic - statistics & numerical data Cholecystitis, Acute - complications Cholecystitis, Acute - diagnostic imaging Cholecystitis, Acute - epidemiology Cholecystitis, Acute - surgery Humans Hyperbilirubinemia - complications Hyperbilirubinemia - diagnostic imaging Hyperbilirubinemia - epidemiology Hyperbilirubinemia - surgery Sphincterotomy, Endoscopic - methods Sphincterotomy, Endoscopic - statistics & numerical data Suction - methods Suction - statistics & numerical data Treatment Outcome
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Zusammenfassung:	Basing on experience of treatment of more than 11 000 patients there were analyzed its results in 248, who were admitted to the hospital in emergency for an acute cholecystitis and raising of a bilirubin level from 29.54 to 167.16 micromol/l. Miniinvasive tactic was applied, surgical treatment was divided on the stages: laparoscopic cholecystectomy with the common biliary duct (CBD) draining, postoperative transdrainage cholangiography (in 184 patients any calculi or other obstacles to the bile outflow were not revealed), endoscopic papillosphincterotomy--in accordance with the indications established. An acute intervention on CBD using miniaccess was needed in 4 patients only. The results were estimated as good and excellent.
ISSN:	0023-2130