Objective To appraise operative and synthesize treatment effect in the elderly ptients with heavy choledochitis combined multiple organ dysfunction(MOD).

目的评价外科手术治疗老年急性管炎和综合治疗多脏器功不全的效果。

Conclusions The key to prevent recurrent angiocholitis and reduce the reoperation rate is to relieve biliary tract stricture, remove the focus of infection and provide unobstructed bile duct drainage.

结论解除道，除病灶，通畅引流是预防管炎复发，减少再手术率的关键。