Acute cholecystitis: possibilities of laparoscopic surgery

Луцевич, О. Э.

doi:10.16931/1995-5464.2020363-70

Ann. hir. gepatol.

2020

DOI: 10.16931/1995-5464.2020363-70

|View full text |Cite

Acute cholecystitis: possibilities of laparoscopic surgery

О. Э. Луцевич

Abstract: Цель: улучшение результатов хирургического лечения больных острым холециститом за счет широкого внедрения ранних лапароскопических операций, сокращения показаний к консервативному лечению и декомпрессионным пункционным методам. Материал и методы. В работе обобщен опыт лечения 3140 пациентов с острым холециститом, которым была выполнена лапароскопическая холецистэктомия. Автор придерживается активной хирургической тактикилапароскопическая операция в первые 2-15 ч после госпитализации при отсутствии абсолютных п… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2020

2023

Publication Types

Select...

Article4

Relationship

Self Cite0

Independent4

Authors

Journals

Cited by 4 publications

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Non-invasive assessment of destructive changes in the gallbladder and severity of acute cholecystitis

Timerbulatov,

Yamalov,

Timerbulatov

et al. 2023

Ann. hir. gepatol.

View full text Add to dashboard Cite

Aim. To study the potential of ultrasound examination for assessment of pathomorphological changes in the gallbladder wall according to A1 and A2 criteria and severity of acute cholecystitis (G1-G3 score).Materials and methods. The authors analyzed the results of examination and treatment of 556 patients with acute cholecystitis for the last 2 years. The study involved clinical, laboratory and ultrasound results, their coincidence with the results of histological examination of the removed gallbladder.Results. Clinical and laboratory data coincided with histopathological data in G1 in 84.9% of cases, G2 – in 74.5%, G3 – in 63.2%; ultrasound findings coincided with histopathological data in A1 in 81.54% of cases, in A2 – in 86.59%. The incidence of postoperative complications in G1 comprised 4.6%, in G2 – 8.4%, in G3 – 32.1%, in A1 – 6.8%, and in A2 – 27.7%. Fatal outcomes appeared only in G3 (3.77%) and A2 (2.12%) patients, the overall postoperative mortality was 0.42% and the incidence of postoperative complications was 10.94%.Conclusion. Ultrasound examination in 86.6% of patients with acute cholecystitis enables pathomorphological changes in the gallbladder wall to be evaluated, which significantly facilitates decision making about the timing and extent of surgical intervention.

show abstract

Non-invasive assessment of destructive changes in the gallbladder and severity of acute cholecystitis

Timerbulatov,

Yamalov,

Timerbulatov

et al. 2023

Ann. hir. gepatol.

View full text Add to dashboard Cite

show abstract

Our Experience of 4360 Laparoscopic Cholecystectomy for Cholelithiasis

Бокиев¹,

Rashidov²,

Рахмонов³

et al. 2020

View full text Add to dashboard Cite

Objective: Analysis of our own experience in performing laparoscopic cholecystectomy (LCE) for cholelithiasis (CHL). Methods: The study is based on the results of 4360 LCE in patients with cholelithiasis. Among the patients, women predominated – 3732 (85.6%), the average age of patients was 52.0±3.5 years. The structure of nosologies: chronic calculous cholecystitis – 3310 (75.9%), acute calculous cholecystitis – 1050 (24.1%). The operations were performed under general endotracheal anaesthesia with carbon dioxide insufflations; the location of the operating team was of the «American» type. Results: LCE was performed in 96.5% of patients, access conversion to open surgery was required in 3.5% of cases. The most common causes of conversion were the presence of a massive adhesive process (59.6%) and destructive changes in the walls of the gallbladder (9.93%). In the ICU, the operated patients were observed on average for 4±2.5 hours, the postoperative stay of patients in the hospital ward was 1.7±1.2 days. Immediate postoperative complications were noted in 1.63% of cases, mortality was 0.13%. Conclusions: Based on their own experience, the authors agree with the postulate that the LCE is the «gold standard» in gallbladder surgery in patients with gallstone disease. At the same time, purposeful preoperative preparation, careful selection of patients, high qualification of the surgeon, as well as adequate postoperative management of patients are the main factors in achieving good outcome. The complexity of surgical techniques can be reduced by collectively addressing complex situations of general somatic status by the active involvement of associated professionals. Keywords: Gallstone disease, laparoscopic cholecystectomy, conversion, early postoperative complications.

show abstract

Acute Cholecystitis in the Elderly and Senile in Emergency Abdominal Surgery

Zavhorodnii

Danyliuk

Рылов

et al. 2021

VPBM

View full text Add to dashboard Cite

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Acute cholecystitis: possibilities of laparoscopic surgery

Cited by 4 publications

References 8 publications

Non-invasive assessment of destructive changes in the gallbladder and severity of acute cholecystitis

Non-invasive assessment of destructive changes in the gallbladder and severity of acute cholecystitis

Our Experience of 4360 Laparoscopic Cholecystectomy for Cholelithiasis

Acute Cholecystitis in the Elderly and Senile in Emergency Abdominal Surgery

Contact Info

Product

Resources

About