Synoversky L. Ground of active surgical tactic at patients with acute cholecystitis in an age aspect

Results of medical tactics in 378 patients with an acute cholecystitis in different age groups and periods of research were analyzed. To select five types of its clinical course. On the basis of the comparative analysis of the clinical data, specificity of 12 sonographic signs of an acute cholecystitis and results of morphological research of the remote gall-bladders and four „clinic-morphological” forms of an acute cholecystitis are selected. The proposed medical algorithm of patients with an acute cholecystitis of different age depends on the clinic-morphological form of disease and operative- anesthesio-logists’ class of risk. The use of active surgical tactics of patients with an acute cholecystitis has reduced of frequency of postoperative complications from 17,6 to 11,4 % and reduced a level of postoperative mortality from 2,1 to 0,6 %.