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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Kazan medical journal</journal-id><journal-title-group><journal-title xml:lang="en">Kazan medical journal</journal-title><trans-title-group xml:lang="ru"><trans-title>Казанский медицинский журнал</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0368-4814</issn><issn publication-format="electronic">2587-9359</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">70750</article-id><article-id pub-id-type="doi">10.17816/kazmj70750</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Surgical tactics for acute cholecystitis in patients over 70</article-title><trans-title-group xml:lang="ru"><trans-title>Хирургическая тактика при остром холецистите у больных старше 70 лет</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kochnev</surname><given-names>O. S.</given-names></name><name xml:lang="ru"><surname>Кочнев</surname><given-names>О. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kim</surname><given-names>I. A.</given-names></name><name xml:lang="ru"><surname>Ким</surname><given-names>И. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Korobkov</surname><given-names>V. N.</given-names></name><name xml:lang="ru"><surname>Коробков</surname><given-names>В. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kim</surname><given-names>B. H.</given-names></name><name xml:lang="ru"><surname>Ким</surname><given-names>Б. X.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Muraviev</surname><given-names>E. I.</given-names></name><name xml:lang="ru"><surname>Муравьев</surname><given-names>Е. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>info@eco-vector.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Kazan Institute for Advanced Medical Training</institution></aff><aff><institution xml:lang="ru">Казанский институт усовершенствования врачей имени В. И. Ленина</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="1986-12-15" publication-format="electronic"><day>15</day><month>12</month><year>1986</year></pub-date><volume>67</volume><issue>6</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>411</fpage><lpage>414</lpage><history><date date-type="received" iso-8601-date="2021-05-17"><day>17</day><month>05</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-05-17"><day>17</day><month>05</month><year>2021</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 1986, Kochnev O.S., Kim I.A., Korobkov V.N., Kim B.H., Muraviev E.I.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 1986, Кочнев О.С., Ким И.А., Коробков В.Н., Ким Б.X., Муравьев Е.И.</copyright-statement><copyright-year>1986</copyright-year><copyright-holder xml:lang="en">Kochnev O.S., Kim I.A., Korobkov V.N., Kim B.H., Muraviev E.I.</copyright-holder><copyright-holder xml:lang="ru">Кочнев О.С., Ким И.А., Коробков В.Н., Ким Б.X., Муравьев Е.И.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">http://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://kazanmedjournal.ru/kazanmedj/article/view/70750">https://kazanmedjournal.ru/kazanmedj/article/view/70750</self-uri><abstract xml:lang="en"><p>In this work we cover the issues of surgical tactics in patients with acute cholecystitis over 70 years old, because this category of patients is the most difficult in terms of diagnosis, choice of treatment method and timing of surgical intervention. Basically, these are patients with concomitant diseases, which largely obscure the clinical picture, aggravate the patient's condition, influence the surgeon's decision and the outcome of surgical intervention.</p></abstract><trans-abstract xml:lang="ru"><p>В данной работе нами освещены вопросы хирургической тактики применительно к больным острым холециститом старше 70 лет, так как данная категория больных наиболее трудна в плане диагностики, выбора метода лечения и сроков оперативного вмешательства. В основном это больные, имеющие сопутствующие заболевания, которые в значительной мере затушевывают клиническую картину, отягощают состояние больного, влияют на решение хирурга и на исход оперативного вмешательства.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Kazan Medical archive</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>Казанский медицинский архив</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Буянов В. М. В кн.: Проблемы хирургии желчных путей. М., 1982.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Виноградов В. В., Зима П. И. Там же.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Кульчинский П. Е., Шулькин С. Л., Степанов М. Н. и др. В кн.: Хирургическое лечение печени и желчевыводящих путей. Киев, 1974.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Лупальцев В. И., Лях А. В. 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