Year: 2023
Type: article
Study design: Observational Study
Abstract: Gallstone disease occupies one of the first places among surgical diseases. The results of surgical treatment of 138 patients with acute cholecystitis were analyzed. The age of patients ranged from 18 to 89 years, women predominated - 84.8%. The preoperative diagnosis of acute cholecystitis was based on clinical evaluation, laboratory findings, and ultrasound evidence of acute cholecystitis. Laparoscopic cholecystectomy was performed in 25 (65.8%) patients of the 1st group with a mild course (Grade I) and in 13 (17.3%) patients with a moderate course (Grade II). In all cases, the gallbladder was enlarged, tense, often soldered to the greater omentum or surrounding organs. Gallbladder puncture with evacuation of 30 to 50 ml of bile was required in 31.6% of cases. Intraoperative signs of acute obstructive cholecystitis were detected in 47.4% of patients, phlegmon of the gallbladder with signs of its destruction - in 21% of patients. In 36 patients, traditional cholecystectomy was performed, and in 2 patients, laparoscopic cholecystectomy with drainage of the choledochus according to Vishnevsky was performed.
Authors: З.Я. Сайдуллаев, Л.О. Хайдарова, С.С. Давлатов
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4323565962