1. [Surgical tactics in patients with cholecystitis complicated by bilirubinemia].
- Author
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Baulina EA, Nikolashin VA, Baulin AA, Nikolashin OA, and Baulin VA
- Subjects
- Bilirubin blood, Cholangiopancreatography, Endoscopic Retrograde statistics & numerical data, Cholecystectomy, Laparoscopic statistics & numerical data, Cholecystitis, Acute complications, Cholecystitis, Acute diagnostic imaging, Cholecystitis, Acute epidemiology, Humans, Hyperbilirubinemia diagnostic imaging, Hyperbilirubinemia epidemiology, Hyperbilirubinemia surgery, Sphincterotomy, Endoscopic statistics & numerical data, Suction methods, Suction statistics & numerical data, Treatment Outcome, Cholangiopancreatography, Endoscopic Retrograde methods, Cholecystectomy, Laparoscopic methods, Cholecystitis, Acute surgery, Hyperbilirubinemia complications, Sphincterotomy, Endoscopic methods
- Abstract
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.
- Published
- 2013