Cholecystitis in high risk patients

Abstract Basing on the analysis of treatment results of 5129 patients with acute cholecystitis, major factors, influencing the outcome, were revealed. These were: age, severity of concomitant diseases, presence of the destruction in the abdominal cavity, late terms of the hospitalization, type and volume of surgical intervention, ASA stage III-IV, SIRS criteria. According to the revealed factors, different approaches to the surgical tactics of the acute cholecystitis treatment, were suggested. The suggested differential approach provided good immediate results with postoperative lethality level of 1.0±0.2%.