The method of treatment of acute destructive cholecystitis patients in elderly


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Abstract

With the years there is a structural both functional disadaptation and the organization of systems an organism. The great
influence on the given process renders number of accompanying diseases. Their cumulative effect reaches a maximum at
advanced age, doing traditional methods of surgical treatment by the extremely risky. For an estimation of operational risk
classification МНОАР(1989) with definition of degree of risk during all periods of surgical treatment is modified: presurgical,
intraoperative and postoperative. Calculation of indicators of risk of 111 patients at the age from 45 till 89 years which have
been hospitalized in a surgical hospital concerning an acute calculous destructive cholecystitis is made. By the given patient it
was spent two principal views of interventions: a traditional cholecystectomia and maloinvazive technologies. The age doesn't
render authentic influence on differences of operational-anesthesiology risk. Performance of a traditional cholecystectomia
is bound to high operational-anesthesiology risk during an operational intervention. Application maloinvazive methods of
treatment of an acute calculous cholecystitis allows to lower risk and to improve results of treatment

About the authors

Курский государственный медицинский университет

Author for correspondence.
Email: author@vestnik-surgery.com

д.м.н., проф., зав.
кафедрой хирургических болезней факультета по-следипломного образования, ректор Курского госу-дарственного медицинского университета; e-mail:
drli@yandex.ru

Курский государственный медицинский университет

Email: author@vestnik-surgery.com

д.м.н., проф., зав. ка-федрой поликлинической терапии, профессиональ-ных болезней и военно-полевой терапии Курско-го государственного медицинского университета
e-mail: werfud@mail.ru

Курский государственный медицинский университет Курская областная клиническая больница

Email: author@vestnik-surgery.com

Курский государственный медицинский университет Курская областная клиническая больница

Email: author@vestnik-surgery.com

соискатель кафедры
хирургических болезней факультета последиплом-ного образования Курского государственного меди-цинского университета; e-mail: werfud@mail.ru

Курский государственный медицинский университет Курская областная клиническая больница

Email: author@vestnik-surgery.com
д.м.н., проф. ка-федры хирургических болезней факультета после-дипломного образования Курского государствен-ного медицинского университета; e-mail: drli@
yandex.ru

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