[Laparoscopic cholecystectomy in acute cholecystitis].
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.
Grubnik
V V
VV
Il'ashenko
V V
VV
Mel'nichenko
Iu A
IuA
Gerasimov
D V
DV
Sharma
P
P
D000208:Acute Disease; D000328:Adult; D000368:Aged; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D002764:Cholecystitis / Q000175:diagnosis / Q000601:surgery*; D002769:Cholelithiasis / Q000175:diagnosis / Q000601:surgery; D004630:Emergencies; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D014463:Ultrasonography
Laparoskopicheskaia kholetsistéktomiia pri ostrom kholetsistite.