STAGED SURGICAL TREATMENT ACCORDING TO THE SEVERITY OF ACUTE PURULENT CHOLANGITIS

Abstract

The results of treatment of 83 patients with acute purulent cholangitis (AHC) that developed as a complication of cholelithiasis (GSD) are presented . The treatment was carried out taking into account the severity of AHC proposed at the conciliation conference in Tokyo (2013). In accordance with these criteria, mild severity of AHC was found in 54 (65%) patients, moderate in 18 (21.6%), and severe in 11 (13.2%) patients. Patients with AHC were subjected to various minimally invasive and open surgical interventions, taking into account the proposed severity criteria, as well as the presence of a clinic of acute destructive cholecystitis and peritonitis.