KHẢO SÁT KẾT QUẢ ĐIỀU TRỊ VIÊM TÚI MẬT CẤP DO SỎI CÓ BỆNH LÝ MẠN TÍNH BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN ĐA KHOA TỈNH SÓC TRĂNG NĂM 2024-2025

Abstract

Objectives: Survey clinical, paraclinical characteristics and evaluation of treatment outcomes of acute cholecystitis due to gallstones with chronic diseases by laparoscopic surgery. Materials and method: Descriptive, prospective cross-sectional study. Includes 38 patients aged 18 over who underwent laparoscopic surgery at Soc Trang General Hospital, from May 2024 to the end of January 2025. Results: the average age was 64.18±15.88 years, with the age group ≥60 years accounting for 65.8%, females 78.9%, hypertension 78.9%, right hypochondrial pain 92.1%, computed tomography confirmed acute cholecystitis due to gallstones in 100% of cases, solitary gallstones in 52.6%, mean operative time 62.89±11.128 minutes, Escherichia coli was the causative agent in 40%, mean postoperative hospital stay 5.87±2.396 days.  Good treatment outcomes were achieved in 71.05% of cases, and moderate outcomes in 21.05%. The total number of chronic comorbidities was the primary independent factor determining the length of postoperative hospital stay. Conclusion: laparoscopic cholecystectomy for acute cholecystitis due to gallstones with chronic diseases is a safe and effective treatment modality, characterized by short postoperative hospital stay, low complication rate, and favorable outcomes.