KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT TÚI MẬT ĐIỀU TRỊ VIÊM TÚI MẬT CẤP Ở NGƯỜI CAO TUỔI

Abstract

Background: Acute cholecystitis is characterized by the acute inflammation of the gallbladder. Laparoscopic cholecystectomy, as a treatment for acute cholecystitis in elderly individuals, particularly those with comorbidities, remains a challenge to all surgeons in provincial hospitals. Based on the aforementioned reality, the study “Results of laparoscopic cholecystectomy for treating acute cholecystitis in elderly patients” was undertaken. Objectives: (1) To determine clinical and paraclinical features in elderly patients with acute cholecystitis, (2) To evaluate laparoscopic cholecystectomy outcomes for treating acute cholecystitis in elderly patients. Materials and methods: A clinical intervention study without a control group was conducted on 46 patients aged ≥ 60 diagnosed with acute cholecystitis at Can Tho University of Medicine and Pharmacy Hospital. Results: The average age was 69.09 ± 8.59 years, with the oldest patient being 97 years old and the youngest being 60 years old. The majority had ASA II, III classifications, accounting for 36 (78.3%) of cases. All cases presented-with abdominal pain, with right hypochondrial pain accounting for 65.2% and only 16 cases (34.8%) exhibited fever. High white blood cell count was observed in 32 (69.6%) cases, while abnormal gallbladder findings were detected in 28 patients (67.4%) via ultrasound. The success rate of laparoscopic cholecystectomy was 100%. The median operative duration was 92.5 ± 41.4 minutes, the shortest was 30 minutes, the highest was 200 minutes. The majority of patients experienced mild pain 24 cases (52.2%), with 24 patients (52.2%) being mobilized within 12 hours post-surgery. Postoperative complications were recorded in 3 cases (6.6%). The median postoperative hospital stay was 4 days. Conclusions: Laparoscopic cholecystectomy for treating acute cholecystitis in elderly patients is safe, high success rates, low complication rates, quick postoperative recovery and short hospital stays.