Laparoscopic cholecystectomy in acute gangrenous cholecystitis

• Published in: Medical and health science journal Vol. 5; pp. 43 - 48
• Main Authors: Khadjibaev, Abdukhakim, Atajanov, Shukhrat, Khadjibaev, Farkhod, Anvarov, Khikmat
• Format: Journal Article
• Language: English
• Published: Prague Development Center 01.01.2011
• Subjects: Care and treatment; Cholecystectomy; Cholecystitis; Health aspects; Laparoscopic surgery; Laparoscopy
• DOI: 10.15208/mhsj.2011.80
• ISSN: 1804-1884

The clinic, laboratorial, intraoperative, and morphologic findings of 482 patients with acute gangrenous cholecystitis have been studied. There were 162 men (33.6%) and 320 (67.4%) women at the age of 15-91 years, with average 55.3 ± 6.5 years old. 218 patients were operated by laparoscopic method, traditional access was provided in 264 patients. Conversion was performed in 17 from 218 cases (7.8%). Postoperative complications made 8.3% and 13.6% in both groups respectively. Intraoperative complication during laparoscopic cholecystectomy (common bile duct injury) occurred in 1 (0.46%) patient operated at the fifth day since the commencement of disease. Conversions and complications reduction was provided by the offered technical improvements of laparoscopic cholecystectomy such as a change of the points of trocars injection, using the modified instruments for the tissues dissection, gallbladder mobilization and hemostasis. Keywords: Cholelithiasis, acute gangrenous cholecystitis, laparoscopic cholecystectomy. UDC: 616.366-002.1:66.381-002-089.87