[Surgical treatment of acute pancreatitis associated with biliary calculi]

Results of surgical treatment of acute pancreatitis combined with concrements of biliferous tract in 197 patients (108 females and 89 men) at the age of 25-78 years are analysed. In all cases there was calculous cholecystitis, that was in 126 (64%) cases combined with choledocholithiasis. In 141 (71,6%) patients there was edematic pancreatitis, in 56 (28,4%)-destructive pancreatitis. 29 patients had fatty pancreonecrosis, 12 patients-hemorrhagic pancreonecrosis, 15 patients-mixed forms of pancreonecrosis. All the patients were operated on. Urgent surgery have been done in 62 (31,5%) patients, planned-in 135 (68,5%). The mortality rate after the urgent surgery was 16 (25,8%), after planned-5 (3,7%). The total postoperative mortality rate is 10,6%. The causes of mortality were: liver and kidney insufficiency (5), heart failure (5) infection (14).