An acute cholecystitis - modern surgical problem

Abstract


In this article considered an acute cholecystitis problem based on treatment experience of 683 patients treated in faculty surgery clinic by the name of S. P. Fedorov MMA. The treatment tactics based on verification of basic disease and its complications, and also on complex patients estimation. The surgical tactics suppose strictly well-founded realization of urgent and deferred radical operations in 82,1% patients and palliative diapevtic operations - in 4,7% instances, that allow to decrease common and postoperative lethality down to 0,44% and 0,53%, accordingly. Presented clinico-pathogenetical and an operative interventions classifications are provide standartization of diagnostic algorithm and therapeutic approach.

Full Text

Restricted Access

About the authors

N A Maystrenko

S. M. Kirov Military Medical Academy, St. Petersburg


A A Kurygin

S. M. Kirov Military Medical Academy, St. Petersburg


S B Sheyko

S. M. Kirov Military Medical Academy, St. Petersburg


F H Azimov

S. M. Kirov Military Medical Academy, St. Petersburg


References

  1. Берников О.Г. Основные направления оптимизации первичной медико-санитарной помощи сельскому населению при остром животе: Автореф. дис.. канд. мед. наук. СПб., 2007. 18 с.
  2. Васильев В.Е., Перунов А.Б. Острый холецистит: современные технологии лечения // Consilium medicum. 2001.http://www.consilium-medicum.com/ http://www.consilium-medicum.com/ Т. 3. № 6.
  3. Гурин Н.Н., Логунов К.В., Митичкин А.Е. Лечение острого холецистита/СПбМАПО. СПб., 1999. 96 с.
  4. Дадвани С.А., Ветшев П.С., Шулутко А.М., Прудков М.И. Желчнокаменная болезнь. М.: Издательский дом «Видар», 2000. 144 с.
  5. Зайратъянц О.В. Анализ смертности, летальности, числа аутопсий и качества клинической диагностики в Москве за последнее десятилетие (1991-2000) // Архив патологии. 2002. Приложение № 1. С. 1-64.
  6. Майстренко Н.А., Нечай А.И. Гепатобилиарная хирургия. СПб.: Специальная литература, 1999. 268 с.
  7. Ожегов С.И. Словарь русского языка: 70000 слов / Под ред. Н. Ю. Шведовой. 21-е изд., перераб. и доп. М., 1989. 924 с.
  8. Словарь русского языка: В 4 т. / АН СССР, Ин-т рус. яз.; Под ред. А. П. Евгеньевой. 2-е изд., испр. и доп. М., 1981-1984.
  9. Eldar S., Eilan А., Bickel A., Sabo Е. et al. The impact of patient delay and physician delay on the outcome of laparoscopic cholecystectomy for acute cholecystitis // Am. J. Surg. 1999. Vol. 178. № 4. P. 303-307.
  10. Suter M., Meyer A. A 10-year experience with the use of laparoscopic cholecystectomy for acute cholecystitis: is it safe? // Surg. Endosc. 2001. Vol. 15. №10. P. 1187-1192.

Statistics

Views

Abstract - 108

Cited-By


Article Metrics

Metrics Loading ...

PlumX

Dimensions

Refbacks

  • There are currently no refbacks.

Copyright (c) 2009 Maystrenko N.A., Kurygin A.A., Sheyko S.B., Azimov F.H.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies