ABSTRACT
Laparoscopic cholecystectomy was fulfilled in 108 patients admitted to the clinic with acute cholecystitis. Operations were made on 73% of them during the first four days from the beginning of the disease, 18.5% were operated upon within 5-7 days, 8.5% - 8 days later. Endoscopic papillotomy with removing the stones from the choledochus was performed in 10% of the patients before operation. Serious problems during taking the gallbladder from the inflammatory infiltration were observed in 29% of the patients. Technical problems took place more often if the patients were operated upon 5 days after the beginning of the disease. Change for open laparoscopy and standard cholecystectomy were necessary in 9 patients (8.3%). There were no lethal outcomes after laparoscopic cholecystectomy. Complications were observed in 12 patients (11.1%). The average period of staying at the hospital was (5.2 +/- 2.1) days. Laparoscopic cholecystectomy can be successfully performed in patients with acute cholecystitis by a sufficiently experienced surgeon.
Subject(s)
Cholecystectomy, Laparoscopic , Cholecystitis/surgery , Acute Disease , Adult , Aged , Cholangiography , Cholangiopancreatography, Endoscopic Retrograde , Cholecystectomy, Laparoscopic/methods , Cholecystitis/diagnosis , Cholelithiasis/diagnosis , Cholelithiasis/surgery , Emergencies , Female , Gallbladder/diagnostic imaging , Humans , Intraoperative Complications/surgery , Male , Middle Aged , Postoperative Complications/epidemiology , UltrasonographySubject(s)
Cholecystectomy, Laparoscopic , Cholecystitis/surgery , Acute Disease , Adult , Aged , Evaluation Studies as Topic , Female , Humans , Length of Stay , Male , Middle Aged , Postoperative ComplicationsABSTRACT
The results of surgical treatment of 193 patients with chronic calculous cholecystitis were analyzed. In 89 of then the ordinary cholecystectomy (OC) was conducted, in 48--cholecystectomy through the minilaparotomy access (MC), in 56--laparoscopic cholecystectomy (LC). After OC conduction the incidence of postoperative complications was the greatest. After LC conduction the complications appeared in 5 patients, they started to stand up and walk on the second day, the majority of them were discharged from the hospital in 2 days. The hospital stay duration after LC conduction was (3.8 + 1.5) days on the average, while after MC and OC-(6.2 + 1.5) and (12.4 + 2.3) days accordingly. Essential advantage of LC over OC and MC was determined.