Influence of biliary-independent pancreatitis on calculus cholecystit
The analysis of 80 case histories in patients with cholelithiasis complicated by acute biliary-dependent pancreatitis (BDP) in the Central Clinical Hospital of Novosibirsk was carried out. Gender ratio: 44 women (56.8%) and 36 men (43.2 %). The mean age of the patients was 54,3 ± 1,24. The tactics of treatment and management of this pathology presupposed the implementation of 3 methods of treatment. The first method is a combination of endoscopic treatment with the implementation of stage laparoscopic intervention in a planned manner. With the growth of perineal symptoms, the appearance of a free fluid in the abdominal cavity, diagnosed by ultrasound examination of the abdominal cavity (ultrasound of the BP), resorted to emergency surgery in the form of laparotomy, cholecystectomy, drainage of the choledoch, drainage of the abdominal cavity. The third type of treatment was conservative management of patients with this pathology. As a result of the comparative analysis, it was established that the method of endoscopic treatment with subsequent laparoscopic cholecystectomy is preferred for the treatment of patients with biliary-dependent pancreatitis.