Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko30810.18499/2070-478X-2014-7-4-424-430Original articlesОригинальные статьиUnknownDecompression Methods in Treatment of High Surgical Risk Patients with Acute Obstructive CholecystitisДекомпрессионные методики лечения больных острым обтурационным холециститом с высоким операционно-анестезиологическим рискомХрупкинВ.И.

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"

д.м.н., проф. кафедры общей хи- рургии лечебного факультета Первого МГМУ им. И.М.Сеченова, главный врач Городской клиниче- ской больницы №23 им. «Медсантруд»

author@vestnik-surgery.comАфанасьевA.Н.

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";

- д.м.н., проф. кафедры общей хи- рургии лечебного факультета Первого МГМУ им. И.М.Сеченова, заведующий хирургическим отде- лением Городской клинической больницы №23 им. «Медсантруд»;

author@vestnik-surgery.comГлаголевН.С.

Post-graduate Department of General Surgery of the First Faculty of Medicine I.M. Sechenov MSMU.

аспирант кафедры общей хирур- гии лечебного факультета Первого МГМУ им. И.М.Сеченова

nikolaiglagolev@inbox.ruI.M. Sechenov First Moscow State Medical University, 11 Iauzskaia Str., Moscow, 109240, Russian FederationПервый Московский государственный медицинский университет им. И.М.Сеченова, ул. Яузская, д. 11, Москва, 109240, Российская Федерация24122014744244302804201628042016Copyright ©; 2014, ., ., .Copyright ©; 2014, Хрупкин В., Афанасьев A., Глаголев Н.2014., ., .Хрупкин В., Афанасьев A., Глаголев Н.http://creativecommons.org/licenses/by-nc-nd/4.0https://vestnik-surgery.com/journal/article/view/308

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.

Статья посвящена методам декомпрессии желчного пузыря у больных острым обтурационным холециститом с высоким анестезиологическим риском. Приведены результаты исследований различных отечественных и зарубежных авторов по применению различных декомпрессионных методик, в том числе под контролем ультразвукового исследования и посред- ством эндоУЗИ. Несмотря на то, что на сегодняшний день имеется большой арсенал малоинвазивных декомпрессионных вмешательств, приоритет остается за проведением антеградных процедур с применением техники для эхосонографиче- ской визуализации.

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