[Differentiated surgical tactic in patients with an acute biliary pancreatitis and the jaundice syndrome].

The outcome was analyzed in 466 patients, treated for an acute pancreatitis in 1997--2003 yrs. In 187 (40.1%) of patients the jaundice had occurred. The surgical tactic was elaborated, depending on the jaundice origin. The extrahepatic biliary ducts pathology have had constituted the acute pancreatitis etiology in 119 (64%) patients and the alimentary causes--in 68 (36%). The predominant application of miniinvasive methods, such as endoscopic papillosphincterotomy with lithoextraction, laparoscopic cholecystectomy, transcutaneous puncture-draining interventions under ultrasonographic control, was based on the proved evidence of efficacy of the staged surgical treatment in patients with biliary acute pancreatitis and the jaundice syndrome; open method was used according to indications.