Treatment of acute cholecystitis complicated by obstructive jaundice

Abstract

Of 420 operated patients with acute cholecystitis, 132 (31.4%) had obstructive jaundice. Only 2 patients were operated on urgently due to peritonitis; in the remaining 130, the use of forced diuresis and rational anti-inflammatory therapy with antibiotics removed the acute effects. This made it possible to fully examine patients and operate them in favorable conditions for a relatively cold period. The jaundice disappeared completely within 7 to 16 days from the start of treatment. Most of the patients were operated on during this period. Postoperative mortality in the cold period was 3.1%.

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