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  • Title: [Diagnosis and treatment of acute cholecystitis in middle-aged and aged patients].
    Author: Greiasov VI, Teberdiev IuB, Perfil'ev VV.
    Journal: Khirurgiia (Mosk); 1991 Feb; (2):20-5. PubMed ID: 2041340.
    Abstract:
    The article analyses 10-year experience with surgical treatment of acute cholecystitis in elderly and old-aged patients. Ninety-six patients were hospitalized within the first 24 hours, 176 patients--later. In old-aged patients acute cholecystitis was marked by rapid generalization of the process. The clinical picture was characteristic in the first days but became atypical later. Laparoscopy was conducted in cases with an unclear diagnosis. Emergency operations were performed on 83 patients, without delay on 127, and postponed on 62 patients. Cholecystectomy was the operation of choice in 8 patients with an extremely high operative risk. Eighteen patients died in the postoperative period.
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