[Clinical picture, diagnostics and treatment of acute pancreatitis].

In clause results of treatment of 1794 patients with a sharp pancreatitis are analyzed. The interstial form was observed at 1186 are sick, for 608 (33,9%) patients has been diagnosed pancreonecrosis. Men (73%) prevailed, the age was within the limits of from 18 till 75 years, middle age has made 46,7 years. The basic part of patients (97,3%) have acted in hospitals in a phase fermental [Cyrillic word: see text]. During till 24 o'clock from the beginning of disease 24,6% patients have acted only, at other patients terms from the beginning of disease exceeded 24 and more hours. Spent complex infusion, antifermental and antibacterial therapy. During medical-diagnostic laparoscopic spent [Cyrillic word: see text] a belly cavity, retrogastric bags and formation of holecyctostoms. At presence of purulent complications of pancreonecrosis a unconditional priority gave littletrauwm to methods of treatment (a puncture abscesses under UZ prompting, and as during retroperitoneoscopy). Duration of treatment at a simple pancreatitis has averaged 15,4 days, at pancreonecrosis 22,9, at purulent complications of a destructive pancreatitis it reached 39,8 day. Mortalyti at a sharp pancreatitis has made 2,2% (26 patients), at pancreonecrosis 9,7% (59 patients), and at purulent complications of a destructive pancreatitis 25,7% (17 patients).

[Laparoscopic microcholecystostomy in the treatment of acute cholecystitis]. / Laparoskopicheskaia mikrokholetsistostomiia v lechenii ostrogo kholetsistita.

Laparoscopic microcholecystostomy is recommended by the authors for nonarrested attack of acute cholecystitis in patients with high operative-anesthesiological risk as the first step of treatment. Delayed operations are performed after arrest of the inflammatory process in the gallbladder and correction of the coexistent pathology. The use of laparoscopic microcholecystostomy considerably decreased lethality in most dangerous contingent of patients.