[Hepato-bilio scintigraphy in the examination of patients with acute cholecystitis before laparoscopic cholecystectomy].

The role of hepato-bilio scintigraphy in examination of 47 patients with acute cholecystitis was evaluated. Laparoscopic cholecystectomy was performed in all the patients. The existence of a functionally "dead" gallbladder in most cases presupposes the existence of marked inflammatory and infiltrative alterations of the neck of the gallbladder, a chronic decline of liver function in patients with calculous cholecystitis complicated with mechanical jaundice and pancreatitis. The effectiveness of hepato-bilio scintigraphy in detection of extra liver biliary tracts obstruction is proved. Hepato-bilio scintigraphy is a highly informative method of diagnosis in acute cholecystitis that makes it possible to evaluate functional status of the liver, gallbladder, cystic duct, extra liver biliary tracts.