OUTCOMES OF LAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CALCULOUS CHOLECYSTITIS ACCORDING TO THE TOKYO GUIDELINES 2018 AT NGUYEN DINH CHIEU HOSPITAL
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Abstract
Background: Acute cholecystitis is one of the common complications of gallstones and is a cause of emergency hospital admission. Laparoscopic cholecystectomy is the gold standard for treating acute calculous cholecystitis. Objective: To evaluate the early outcomes of laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis according to the Tokyo Guidelines 2018 at Nguyen Dinh Chieu Hospital. Materials and methods: Retrospective combined with prospective study, including all patients diagnosed with acute calculous cholecystitis who underwent laparoscopic cholecystectomy at Nguyen Dinh Chieu Hospital from January 2024 to December 2025. Results: During the 2-year study period, laparoscopic cholecystectomy was performed in 265 patients with acute calculous cholecystitis. The male-to-female ratio was 1:1.65, and females accounted for 62.3% of the study population. The mean age was 59.2 ± 15.6 years. The proportions of patients classified as ASA I, ASA II, and ASA III were 35.1%, 46.8%, and 18.1%, respectively; patients with CCI < 6 and CCI ≥ 6 accounted for 80.8% and 19.2%, respectively. The success rate of laparoscopic cholecystectomy was 98.9%, with a conversion-to-open-surgery rate of 1.1%. The mean operative time was 102.6 ± 24.4 minutes. Intraoperative complications occurred in 0.8% of cases. Postoperative complications were recorded in 5.7%, including bleeding (0.8%), surgical site infection (0.8%), subhepatic fluid collection (1.1%), bile leakage (0.8%), hospitalacquired pneumonia (1.9%), and minor cerebral infarction (0.4%). The mean postoperative hospital stay was 6.8 ± 3.6 days. Early postoperative outcomes were good in 94.0% of patients, fair in 5.3%, and poor in 0.8%. Conclusion: Laparoscopic cholecystectomy performed according to the Tokyo Guidelines 2018 is a safe and effective treatment for acute calculous cholecystitis.
Keywords
Acute calculous cholecystitis, laparoscopic cholecystectomy, early outcomes
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References
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