KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT TÚI MẬT ĐIỀU TRỊ VIÊM TÚI MẬT CẤP TẠI BỆNH VIỆN E GIAI ĐOẠN 2019 - 2023

Abstract

Objective: Assessing treatment results of laparoscopic surgery for acute cholecystitis at E Hospital. Materials and Methods: Retrospective and prospective study from 1/2019 to 12/2023, including 150 patients (85 men and 65 women) who underwent laparoscopic cholecystectomy for acute cholecystitis. Results: The mean age was 59.5 ± 16.6 years. Of these, 57% were male and 43% were female. The average BMI  was 21,97 ± 2,58 kg/m². Clinical findings included abdominal pain in all patients, with 98.6% experiencing right upper abdominal pain and 70% having a fever (more than 37.5ºC). Elevated leukocyte levels were found in 88.66% of patients (more than 10 G/L). Abdominal ultrasound revealed a thickness of the gallbladder wall in 100% of patients (more than 4 mm) and the presence of pericholecystic fluid in 36%. The success rate of laparoscopic cholecystectomy was 100%. The average operation time for the group that underwent surgery within 72 hours was 65.7 ± 20.8 minutes, shorter than the group after 72 hours (79.8 ± 29.3 minutes). The mean time of post-operative defecation was 1,36 ± 0,45  days and re feeding was 1,33 ±  0,76 days. Post-surgery complications occurred in 1 case. The mean inpatient hospital stay for the group that had surgery within 72 hours (5.4 ± 1.6 days) was shorter than that of the group after 72 hours (6.8 ± 2 days). The results of the pathology show that the purulent cholecystitis accounts for the highest percentage at 53.3%, followed by edematous cholecystitis at 37.3%, and gangrenous cholecystitis at 9.4%. Conclusions:  Laparoscopic cholecystectomy for acute cholecystitis is a safe and effective treatment. Early surgery within 72 hours of symptom onset is the optimal choice.