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ASSESSING EARLY TREATMENT RESULTS OF LAPAROSCOPIC SURGERY FOR ACUTE CHOLECYSTITIS DUE TO GALLSTONES AT PEOPLE'S HOSPITAL 115
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Abstract
Background: Acute cholecystitis refers to inflammation of the gallbladder, usually caused by gallstones. Currently, laparoscopic cholecystectomy is the first line surgical treatment. HoweVer, the diagnosis and treatment of acute cholecystitis due to gallstones is still a matter of further research. One of the issues is the operation time, treatment method and some factors affecting the success of laparoscopic surgery. Therefore, we carry out this study to clarify the aboVe issues. Objectives: Describe clinical, subclinical, surgical results and consider some factors related to cases of acute cholecystitis due to gallstones undergoing laparoscopic cholecystectomy at People's Hospital 115. Methods: A retrospectiVe descriptiVe study of a series of cases, selecting medical records that met the sampling criteria from January 2018 to December 2021. All patients ≥ 16 years old with confirmed acute gallstone cholecystitis underwent laparoscopic cholecystectomy based on diagnostic criteria Tokyo Guidelines 2018. Data collection and analyzing by SPSS 26.0 Version software. Results: The mean age was 58.57 ± 14.46, the rate of female was 1.5 times higher than that of male, and comorbidities were 58.1%. Symptoms of right upper abdominal pain (95.9%). Subclinical signs: white blood cells increased from 10.1 to 18.0 k/uL (40.5%). Ultrasound image of gallstones is 98.6%, combined biliary stones 3.3%. Computed tomography images detected 100% of stones and complications such as gallbladder necrosis (6.6%), gallbladder abscess (3.3%). The rate of successful laparoscopic cholecystectomy was 97.3%, the aVerage operation time was 94.64 ± 34.11 minutes. The aVerage blood loss was 33.75 ml. The mean inpatient hospital time of the group that indicated surgery before 72 hours (3.26
± 1.14 days) was shorter than that of the group after
72 hours (3.37 ± 1.28 days). Conclusion: Laparoscopic surgery for acute cholecystitis due to gallstones should be performed prior to open surgery and early surgery within 72 hours of symptom onset is the optimal choice.
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References
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