OPTIMIZATION OF DIAGNOSIS AND TREATMENT TACTICS OF EARLY BILIARY COMPLICATIONS AFTER CHOLECYSTECTOMY

Аннотация

The analysis of treatment results of 93 patients with biliary disease that occurred in 1.6% of patients after cholecystectomy in early postoperative period was carried out. Using of mini-invasive endoscopic transduodenal interventions, diapetic (ultrasound-controlled puncture) methods and laparoscopy, as well as active conservative therapy in the main study group allowed avoiding laparotomy in 92.4% of patients with biliary disease of I and II degree. In patients with biliary disease of III degree due to damage of the main bile ducts the best results were obtained by applying high GEA according to RU using a precision technique. The developed treatment and diagnostic tactics allowed to improve significantly the results of treatment in patients with early biliary complications after cholecystectomy.