[Causes of death in acute cholecystitis].

Macro- and microscopic alterations of organs in 115 patients dead from acute cholecystitis at the age from 23 to 88 were studied with special reference to clinico-laboratory findings. As a rule, there were changes in several organs, especially in the vessels and heart (99,1%), liver (93,1%), lungs (75,5%), kidneys (63,4%). A conclusion is made that the main causes of death are hepatic insufficiency (65,2%), peritonitis (13,9%), pancreanecrosis (7,8%), thromboembolism (6,1%).

[Tight suturing of the abdominal cavity after cholecystectomy].

A comparative analysis of two series of operations for acute and chronic cholecystitis was made. In the first series of operations (289) the abdominal cavity was drained with gauze napkins, in the second series (256 operations) a drainage tube was used or the abdominal cavity was sutured tightly. The authors came to a conclusion that in planned and postponed cholecystectomies tight suture of the abdominal cavity is the method of choice.