CLINICAL EFFICACY OF DIAPEUTIC AND X-RAY SURGICAL INTERVENTIONS IN COMPLEX SURGICAL TREATMENT OF ACUTE PURULENT CHOLANGITIS

Abstract

Purulent cholangitis is one of the most severe and life-threatening complications of biliary tract diseases, which is an acute inflammation of the bile ducts that occurs against the background of a persistent violation of the outflow of bile. Purpose of the study. Improving the results of complex surgical treatment of patients with acute purulent cholangitis of benign genesis by optimizing tactical and technical aspects. Materials and methods. The results of surgical treatment of 144 patients with acute purulent cholangitis were analyzed. Results. Staged surgical treatment, taking into account the severity of acute purulent cholangitis and the use of preliminary decompressive interventions on the bile ducts, made it possible to stop the phenomena of cholestasis and purulent intoxication, and improve the results of radical operations. Optimization tactical and technical aspects of the complex surgical treatment of acute purulent cholangitis as a complication of cholelithiasis contributed to the improvement of treatment results due to early relief of cholangitis, prevention of liver abscesses and the development of biliary sepsis. At the same time, a decrease in postoperative purulent - septic and cholemic complications from 24.5% to 12.1%, mortality from 8.2% to 2.4%.