KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ VIÊM TÚI MẬT CẤP DO SỎI

Abstract

Background: Acute cholecystitis is an acute inflammation of the gallbladder, with approximately 90–95% of cases caused by gallstones. Laparoscopic cholecystectomy (LC) remains the "gold standard" for definitive treatment, offering favorable outcomes with the lowest complication rates. Based on this clinical reality, we conducted the study titled “Results of laparoscopic surgery in the treatment of acute calculous cholecystitis.” Objectives: 1. To describe the clinical and paraclinical characteristics of patients with acute calculous cholecystitis. 2. To evaluate the outcomes of laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis. Materials and methods: A descriptive cross-sectional study was conducted on 96 patients diagnosed with acute calculous cholecystitis and treated with laparoscopic cholecystectomy. Results: The mean age of patients was 57.44 ± 1.92 years, with females accounting for 65.6%. Right upper quadrant pain was present in 61.5% of patients, and Murphy’s sign was positive in 60.4%. A total of 63.5% of patients were classified as ASA I. Leukocytosis was observed in 65.6% of cases, and ultrasound detected gallbladder enlargement in 40.6% of patients. All patients underwent successful laparoscopic cholecystectomy (100%). The mean operative time was 86.5 ± 26.98 minutes, ranging from 40 to 220 minutes. Postoperative complications occurred in 3 patients (3%). The mean postoperative hospital stay was 4.5 ± 1.7 days. Conclusion: Laparoscopic cholecystectomy is considered a safe and effective treatment modality for acute calculous cholecystitis, offering a low rate of complications and reduced postoperative hospitalization time.