Surgical treatment of XXXX and complicated forms of cholecystopancreatitis.

@entity1 @entity788 @entity5990
The authors present a retrospective clinical analysis of 25 operated @entity1 with @entity788 and severe cholecystopancreatitis. The severity of the disease was evaluated by the Ranson scale. Diagnosis was made using all available contemporary diagnostic methods. Eleven of the @entity1 were operated in the first 2-5 days after admission because of severe form of acute @entity788 resisting medical therapy (Ranson > 3) and 8 @entity1 with @entity788 underwent surgery within 2-3 weeks after the disease onset. Five of the @entity1 died (26.32%). Only one @entity1 died (16.66%) out of the @entity1 of the second group including @entity1 with acute complicated cholecystopancreatitis (n = 6). The authors think that treatment of acute @entity788 at its onset should be mainly conservative. Laparotomy should be resorted to only in cases of uncertain diagnosis. Surgery or percutaneous drainage should be used in @entity788 and the most favorable term of operation is 2-3 weeks after the disease onset. Severe @entity788 associated with @entity5990 and its complications require emergency surgery.
