International Medical Journal, Vol. 25., Iss. 1, 2019, P. 36−38.
PROTOCOL OF PERFORMING VARIOUS TYPES OF SURGICAL INTERVENTIONS IN ACUTE CHOLANGITIS
CPR "Regional Clinical Hospital", Kharkiv, Ukraine
The presence of acute cholangitis in most cases stipulates the surgery staging. First of all, in such patients the biliary hypertension has to be eliminated, with following correction of the pathology which caused acute cholangitis. To substantiate the protocol of different types of surgical interventions in acute cholangitis, the results of surgeries in 150 patients, who underwent 241 stages of surgical interventions totally. The sequence and time of the surgery stages for the patients with cholangitis as well as the type of surgical intervention are determined individually, in accordance with the patient's condition and priority of pathological process. Mini−invasive and open methods are used in different sequences and at different time intervals, depending on the severity of the dominant pathology. In acute inflammatory process in biliary tract, it is not necessary to strive for a complete removal of concrements from hepathicohledocha, since, firstly, some of those patients operated by laparoscopic or open ways have already had the transpapillary drainage manipulations, and secondly, such drainage mini−invasive interventions with endoscopic removal of concrements or stenting can be performed after laparoscopic or open intervention in biliary tract.
Key words: acute cholangitis, endoscopic intervention, percutaneous intervention, laparoscopy.