Decompression Methods in Treatment of High Surgical Risk Patients with Acute Obstructive Cholecystitis


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Abstract

Many open surgical procedures are not possible to use in high surgical risk patients with acute obstructive cholecystitis, because rates of comorbidity (0-43%) and mortality (0-10%) are very high in this group of patients. Rate of mortality is very high in patient older than 70 years old and reaches up to16%. Miniinvasive decompression procedures in treatment of acute obstructive cholecystitis are associated with positive results in high surgical risk patients in compare with cholecystectomy. But in many studies tells about some negative sides of this manipulations, for example morbidity and mortality after US-guided percutaneous transhepatic cholecystostomy. Therefore, we have basis to show you different technique, which may reduce rates of morbidity and mortality in high surgical risk patients.

About the authors

I.M. Sechenov First Moscow State Medical University, 11 Iauzskaia Str., Moscow, 109240, Russian
Federation

Author for correspondence.
Email: author@vestnik-surgery.com
MD, Prof., Department of General Surgery of the First Faculty of Medicine I.M. Sechenov MSMU, chief physician of the City Clinical Hospital №23 "Medsantrud"

I.M. Sechenov First Moscow State Medical University, 11 Iauzskaia Str., Moscow, 109240, Russian
Federation

Email: author@vestnik-surgery.com
MD, Prof., Department of General Surgery of the First Faculty of Medicine I.M. Sechenov MSMU, head of the surgical department of the City Clinical Hospital №23 "Medsantrud";

I.M. Sechenov First Moscow State Medical University, 11 Iauzskaia Str., Moscow, 109240, Russian
Federation

Email: nikolaiglagolev@inbox.ru
Post-graduate Department of General Surgery of the First Faculty of Medicine I.M. Sechenov MSMU.

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