KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI ĐIỀU TRỊ VIÊM TÚI MẬT CẤP DO SỎI TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objective: Assessing early treatment results of laparoscopic surgery for acute cholecystitis due to gallstones at Thai Binh General Hospital. Materials and Methods: Restrospective and prospective study from 6/2022 though 5/2023, we had 54 patients, including 24 men and 30 women, who had laparoscopic cholecystectectomy. Results: The mean age was 60,5 ± 17,2 years. the rate of female was 1.25 times higher than that of male, and comorbidities were 59.3%. Clinical finding were abdominal pain in all patient. Symptoms of right upper abdominal pain 85,2%; fever (more than 37,5º) in 9,3%. Elevation of leucocyte in 55,6% (more than 10 G/L). Adominal ultrasound: thickness of gallblader wall in 54 patients (68,0%, more than 4mm), presence of pericholecystic fluid in 16,7%. The rate of successful laparoscopic cholecystectomy was 100%. The average operation time was 75,6 ± 24,6 minutes. 9,3% complications occurred during surgery. Post-surgery complications happen in 2 cases. The mean inpatient hospital time of the group that indicated surgery before 72 hours (6,1 ± 2,6 days) was shorter than that of the group after 72 hours (6,2 ± 2,3 days). Conclusions: Laparoscopic cholecystectectomy for acute cholecystitis due to gallstones is a safe, favorable treatment with good results and early surgery within 72 hours of symptom onset is the optimal choice.