ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT TÚI MẬT ĐIỀU TRỊ VIÊM TÚI MẬT CẤP TẠI BỆNH VIỆN ĐA KHOA TỈNH HẬU GIANG

Abstract

Objective: To evaluate the results of laparoscopic cholecystectomy for acute cholecystitis caused by stones. Methods: Retrospective descriptive study. All patients diagnosed with acute cholecystitis caused by stones, underwent laparoscopic cholecystectomy at Hau Giang Provincial General Hospital. Results: There were 51 eligible patients, with an average age of 52.88 ± 13.32 years, and a female:male ratio of ≈ 9.2:1. patients with ASA 1 accounted for 70.6%, ASA 2 accounted for 19.6%, and ASA 3 accounted for 8.8%. The average surgical time was 106.73 ± 44.69 minutes (28-125 minutes). Gallbladder perforation accounted for 3.9%. There were no deaths, the main complications were trocar wound bleeding accounting for 15.7%, infection and abdominal bleeding were rare with 1.9%. Laparoscopic surgery was 100.0% successful, with good results accounting for 82.4% and average results for 17.6%. Conclusion: Laparoscopic cholecystectomy to treat acute cholecystitis due to chronic cholecystitis had no major complications during surgery, no cases were converted to open surgery and no deaths. Laparoscopic surgery was 100.0% successful, with a high percentage of good results.