ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ VIÊM TÚI MẬT CẤP Ở NGƯỜI CAO TUỔI

Abstract

Purposes: Evaluating the surgical outcomes of acute cholecystitis treatment in elderly patients at Viet Duc Hospital. Subjects and method: 86 elderly patients (over 60 years) were diagnosed with acute cholecystitis and underwent cholecystectomy at Viet Duc Hospital, from 01/2020 to 6/2022. Data regarding the surgical procedure and postoperative period were collected for analysis. Results: Laparoscopic surgery accounted for 93,02% of cases, with 3,49% requiring a conversion from laparoscopic to open surgery, 6,98% undergoing open surgery. The postoperative period ranged from 3 to 5 days for 76,74% of patients, with 63,95% having their first bowel movement after 2 days. The average hospital stay after surgery was 4,48 ± 3,27 days, and 65,12% of patients were hospitalized for 3 to 5 days. The postoperative complication rate was 10.46%. Overall postoperative results were categorized as follows: good in 83,37% of cases and moderate in 16,63% of cases. Conclusions: Surgical treatment of acute cholecystitis in elderly patients yields favorable treatment outcomes with a low complication rate.