ĐẶC ĐIỂM DỊCH TỄ HỌC, LÂM SÀNG, CẬN LÂM SÀNG BỆNH LÝ TÚI MẬT QUA 248 TRƯỜNG HỢP PHẪU THUẬT CẮT TÚI MẬT NỘI SOI

Abstract

Study aims: + Evaluation of Epidemiology of  cholelithiasis, gallstones cholecystitis and also acaculous cholecystitis. + Cliniacal and paraclinical feature of gallstonecholecystitis and accaculous cholecystitis. + The results of laparoscopique cholecystectomy in 248  patients. + Patient and method: + Restrospective study. + Time: 2008-2011. Result: There were 248 patients, female  were 165 patiens (66,5%), male were 83 patients (33,5%), mean age was 51,4±14,3 (range 20-89 years old). Profession: farmer was 19,2%, others occupations: 80,2%. Burgher were 70,2%, native village were 29,8%. Concomitant chronic disease was 11,4%. Symptoms: pain in right upper quadrant was 100%, fever in 7,3%. Murphy's Sign positive in 6,5%. Abdominal ultrasound revealed the gallstones in 90,0%, acalculous gallbladder in 10%, thickness of the gallblader wall more than 3mm in 6,9%, pericholesystic fluid in 6,5%. Urgent laparoscopique cholecystectomy were perfomed in 10,0%, elective procedure were held in 90,0%, conversion to open surgery in 8 patients (of them, 6 conversions in urgent operration). The reason to coversion were mainly due to bleeding, adhesive to surrounding tisues and injury to common bile duct.The average operation time was: 58,2±20,7 minutes. The average hospital stays was 5,02±2,36 (Range 2-15 days). There was no death per and post operation. Complication were bleeding and suppuration of trocar site (8 patients, 3,2%). Coclusion: We cocluded that 1. Epidemiology: Mean age was 51,4±14,3; There were 66,5% female, 33,5% male, farmer 19,2%, othes 80,2%. Burgher were 70,2%, native village were 29,8%. Concomitant chronic disease was 11,4%. 2. Clinical and paraclinical feature: Symptoms: pain in right upper quadrant was 100%, fever in 7,3%. Murphy's Sign positive in 6,5%. + Abdominal ultrasound revealed the gallstones in 90,0%, acalculous gallbladder in 10%, thickness of the gallblader wall more than 3mm in 6,9%, pericholesystic fluid in 6,5%. 3. Surgical management: Urgent laparoscopique cholecystectomy were perfomed in 10,0%, elective procedure were held in 90,0%, conversion to open surgery in 8 patients (3,2%). +The average operation time was: 58,2±20,7 minutes. The average hospital stays was 5,02±2,36 (Range 2-15 days). + There was no death per and post operation. Complications were bleeding and suppuration of trocar site (8 patients, 3,2%).