[Ways of mortality reduction after operations on the extrahepatic bile ducts]

Based on the analysis of the immediate results of 231 operations on extrahepatic bile ducts, 174 primary interventions and 57 reoperations, it is concluded that the operation at the height of the attack of acute cholecystitis or in total obturation of bile passages yields considerable mortality (1/3 and 1/5 of observations, accordingly). The best results of surgery were obtained in attenuation of acute inflammatory phenomena in the gallbladder under conditions of liquidation of obturation of extrahepatic bile ducts (1/7 of observations). However, bile peritonitis and progression of destructive acute cholecystitis would necessitate an urgent operation. According to the authors' data well-grounded indications to surgery, a selection of optimum terms and extent of its accomplishment could contribute to favourable immediate results of surgical therapy for diseases of extrahepatic ducts.