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[Acute cholecystitis and liver failure]
Vestnik Khirurgii Imeni I. I. Grekova
|July 1, 1986
Summary
Treatment of acute cholecystitis in 300 patients showed high rates of hepatic insufficiency, significantly increasing mortality. Cholecystectomy was the primary surgical intervention, but liver dysfunction remained a critical factor in patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
Context:
- Acute cholecystitis presents a significant clinical challenge.
- Management involves surgical intervention with potential complications.
Purpose:
- To analyze treatment outcomes for acute cholecystitis.
- To evaluate the incidence and impact of hepatic insufficiency.
Summary:
- 300 patients with acute cholecystitis were treated, with 95% undergoing surgery.
- Cholecystectomy was the preferred procedure (97.1%).
- Hepatic insufficiency developed in 57.6% of patients, leading to a fourfold increase in lethality and being the primary cause of death in 34.1% of operated cases.
Impact:
- Highlights the critical role of hepatic function in acute cholecystitis outcomes.
- Informs surgical strategies and patient management for acute cholecystitis.
- Underscores the need for vigilant monitoring and management of liver function in surgical patients.