The aim of this study is the analysis of the results in 62 patients over 70 years of age with acute cholecystitis treated in our Department from 1970 to 1990. The clinical picture in 47 patients was mild and in 15 severe. In 14 cases (10 calculous, 4 acalculous) the acute cholecystitis subsided with antibiotics (Group A). In 48 more cases (45 calculous, 3 acalculous) following 1-3 days conserva...

Summary. Elderly and senile patients in surgery are associated with numerous concomitant diseases, reduced functional reserve high anesthetic risk.
 Aim. To assess the frequency nature of perioperative complications elderly after laparoscopic cholecystectomy for acute or chronic calculous cholecystitis.
 Materials methods. We analyzed qualitative quantitative characteristics intraoper...

BACKGROUND The management of acute calculous cholecystitis still offers room for debate in terms of diagnosis, severity scores, treatment options and timing for surgery. MATERIAL AND METHODS A systematic review about the treatment of acute cholecystitis has been completed. The recommendations of recent guidelines have also been examined taking into account the results of the review. RESULTS...

Chronic calculous cholecystitis is an inflammatory disease which affects the gallbladder wall and causes dysfunction of biliary system. It most common benign gall bladder. To study pattern age sex distribution, diet clinical feature patients, laboratory radiological investigations patients presenting with associated pathology, intraoperative pathological changes This was conducted from July 202...

Summary. The aim of investigation – to get acquainted with the possibilities variant anatomy extrahepatic bile ducts location.
 Results and their discussion. In our own practice, we observed two patients atypical anatomy.
 Patient G. was operated because chronic calculous cholecystitis. During laparoscopic cholecystectomy, encountered following situation: it found that gallbladder has...

Distension of the gallbladder and bacterial infection can perpetuate an attack of acute calculous cholecystitis and produce its local and systemic complications. This prospective randomized trial was conducted on patients with their first episode of acute calculous cholecystitis which was associated with pyrexia and tachycardia to examine whether ultrasound guided percutaneous aspiration and la...

Purpose: The aim of the study is comparative analysis operating time, blood loss during surgery, postoperative discomfort, and pain, hospital stay, cost-effectiveness, patient satisfaction in patients undergoing laparoscopic cholecystectomy conventional UMHATEM "N.I.Pirogov". Material Methods: For a one-year period (from 01.01.2018 to 01.01.2019) 512 with calculous cholecystitis were operated o...

The authors note that cholelithiasis, according to epidemiological indicators, occupies one of the leading places in structure incidence abdominal organs. At same time, cholecystectomy (CE) from mini–access is not considered an alternative laparoscopic (LCE) and independent method. It also noted CE has a number advantages preferences compared access. Compared LCE, postoperative complications af...

Pseudoaneurysms of the cystic artery are rare complications related to cholecystitis. A 74-year-old male visited our Emergency Department (ED) for abdominal pain. He was febrile and jaundiced. However, no hematemesis or melena was noted. Physical examination showed no Murphy sign. Computer Tomography (CT) showed a pseudoaneurysm near the gallbladder fossa. The patient was managed with transcath...