LÂM SÀNG VÀ CẬN LÂM SÀNG TRƯỚC PHẪU THUẬT NỘI SOI VIÊM TÚI MẬT CẤP DO SỎI Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Acute cholecystitis due to stones in the elderly is often difficult to diagnose because the elderly often have underlying diseases. Providing clinical and paraclinical characteristics will help doctors have an overview as well as make the correct diagnosis and have appropriate treatment. Objectives: State the prominent clinical and paraclinical symptoms before laparoscopic surgery for acute cholecystitis due to stones in the elderly at Can Tho City General Hospital. Materials and methods: Cross-sectional descriptive study of 61 patients over 60 years old diagnosed with acute cholecystitis due to stones and indicated for laparoscopic cholecystectomy at Can Tho City General Hospital from January to October 2023. Results: Patients admitted to hospital within the first 72 hours accounted for 83.6%; The common pain location was epigastric (75.4%); The pain was mainly dull and severe (57.4% and 31.1%); Most cases had fever < 38⁰C (77%); There were 53 cases (70.5%) with leukocytosis > 10,000; Ultrasound images showed gallbladder wall thickness > 6mm (80.3%); Abdominal MSCT results showed that all cases of VTM were due to stones stuck in the neck of the gallbladder. Conclusion: Common clinical and paraclinical symptoms are: dull or severe pain in the epigastrium, mild fever, high white blood cell count over 10,000; Ultrasound image shows gallbladder wall thickness > 6mm.