Damage control surgery (DCS)for acute obstructive suppurative cholangitis(AOSC): a retrospective analysis of 69 cases DAI Rui-wu, TIAN Fu-zhou, WANG Yu, et al. The PLA Center of General Surgery, Chengdu Army General Hospital of PLA, Chengdu 610083,China Corresponding author: TIAN Fu-zhou, E-mail:rwdai@163.com Abstract Objective To explore the current management strategy and effect of damage control surgery (DCS)for acute obstructive suppurative cholangitis(AOSC). Methods The clinical data of 69 AOSC patients who admitted in our center from Sep.2001 to Dec.2007 were selected as the object of this study. A retrospective analysis was done on preference of DCS methods and perioperative therapies. Results DCS was performed in all 69 patients. Then 18 patients were healed, 47 patients were performed reoperations after SICU resuscitation.The cure rate was 94.2% with 65 cases, The incidence of choleintestinal anastomotic stoma fistula(1 cases) or hemobilia(1 cases) was as low as 2.1% after reoperations, and all healed by corresponding treatments. Two cases abandoned treatment. Mortality rate was 2.9% with 2 cases, and the causes were irrespective with DCS. Conclusion Consideration for DCS should be made positively under indications to AOSC patients. According to the difference of etiopathogenesis, choosing eligible DCS and reoperations methods is the key management.