Optimization of Diagnostic and Treatment Tactics in Biliary Peritonitis

Abstract

The monograph presents the main theoretical issues regarding the diagnosis and surgical treatment of biliary peritonitis following chole-cystectomy. The criteria for diagnosing peritonitis during and after surgery, surgical treatment methods, and their prevention are highlighted. The authors' algorithm for selecting surgical treatment tactics for patients with peritonitis after cholecystectomy is described, depending on the degree of bile leakage. Mini-invasive endoscopic transduodenal interventions, diapectic methods and laparoscopy, as well as active conservative therapy, have been introduced into clinical practice, significantly improving treatment outcomes for minor bile duct injuries. Tactical and technical aspects for the correction of large bile duct lesions complicated by peritonitis have been developed, depending on the type and level of injury. This made it possible to improve the quality of diagnosis and optimize the choice of conservative or surgical treatment.

The monograph is intended for surgeons, masters, clinical residents, and medical institute students.