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[Laparoscopic cholecystectomy in acute cholecystitis]
Vestnik Khirurgii Imeni I. I. Grekova
|January 1, 1996
Summary
Laparoscopic cholecystectomy is a safe and effective treatment for acute cholecystitis. Experienced surgeons can achieve good outcomes, with low complication rates and short hospital stays for patients undergoing this gallbladder removal procedure.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Acute cholecystitis is a common surgical emergency.
- Laparoscopic cholecystectomy is the preferred treatment modality.
- Early intervention may reduce operative difficulties.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic cholecystectomy for acute cholecystitis.
- To assess the impact of timing on surgical outcomes.
- To identify factors influencing complication rates.
Main Methods:
- Retrospective analysis of 108 patients with acute cholecystitis.
- Laparoscopic cholecystectomy performed within varying timeframes.
- Documentation of operative challenges, complications, and outcomes.
Main Results:
- 73% of patients operated within 4 days; 18.5% within 5-7 days; 8.5% after 8 days.
- Technical difficulties increased after 5 days.
- Conversion to open surgery in 8.3% of cases.
- No mortality; 11.1% complication rate.
- Average hospital stay: 5.2 days.
Conclusions:
- Laparoscopic cholecystectomy is a viable option for acute cholecystitis.
- Timely surgery (within 4 days) is associated with fewer technical issues.
- Surgical experience is crucial for successful outcomes.