[The characteristics of the clinical course and diagnosis of acute cholecystitis complicated by jaundice].

The clinical picture of acute cholecystitis complicated by jaundice has four main types: with the prevailing syndrome of inflammation of the gallbladder, of the pancreatic syndrome, of the cholangitis syndrome and of the profound pain syndrome by the type of renal colic. Echography is thought to be an informative preoperative method of diagnostics of the cause of jaundice, its significance being increased when combined with the percutaneous transhepatic cholangiography (94.4%).

[Treatment of acute cholecystitis in patients over 80 years of age].

The severity of morphological changes in the gallbladder and complicated course of the disease are the principal factors causing an unfavorable effect on the results of treatment of acute cholecystitis in patients over 80 years of age. Early surgical intervention is the basis of the therapeutical tactics. The choice of the operation is determined by the organism's functional condition which is evaluated according to its capacity for work.

[Percutaneous gallbladder puncture and microcholecystostomy under echographic control in acute cholecystitis].

Percutaneous puncture sanitation of the gallbladder and microcholecystostomy under ultrasonic control were used in treatment of 62 patients with acute cholecystitis with high operative risk. There were 14 men and 48 women with the average age 78 years. All the patients were admitted to the hospital in critical state.