KẾT QUẢ ĐIỀU TRỊ VIÊM TÚI MẬT CẤP DO SỎI BẰNG PHẪU THUẬT NỘI SOI CẮT TÚI MẬT Ở BỆNH NHÂN CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Acute cholecystitis is a common surgical emergency, usually caused by gallstones, and can lead to severe complications if not treated promptly. Objectives: To evaluate the treatment of acute cholecystitis caused by gallstones with laparoscopic cholecystectomy in the elderly at Can Tho City General Hospital. Materials and methods: A descriptive cross-sectional study was conducted on 61 patients over 60 years old who were preoperatively diagnosed with acute cholecystitis caused by gallstones and underwent laparoscopic cholecystectomy at Can Tho City General Hospital from January 2021 to October 2021. Results: The male/female ratio in the study was 1/2.39, with 83.6% of patients being admitted within 72 hours of the onset of pain symptoms. Regarding treatment outcomes, 86.9% of patients had surgery lasting more than 90 minutes. Postoperatively, 57.4% of patients were diagnosed with acute cholecystitis, 24.6% with necrotizing cholecystitis, and 18% with biliary peritonitis. Early postoperative results were primarily good (85.2%) and moderate (14.8%), with no cases of poor outcomes. Early postoperative results were significantly associated with the duration of pain before admission and the duration of surgery, with p<0.05. Conclusion: Laparoscopic cholecystectomy for acute cholecystitis caused by gallstones is a safe and effective treatment method with low complication rates in the elderly.