Diario del páncreas Acceso abierto

Abstracto

Our results of emergency cholecystectomy in the treatment of acute cholecystitis

Ebral Yiğit, Cemalettin Durgun

Objective: Laparoscopic cholecystectomy has become a popular alternative to conventional cholecystectomy in the treatment of acute cholecystitis. Materials and methods: This retrospective descriptive study was conducted in the general surgery department of Gazi Yaşargil Training and Research Hospital between January 2018 and January 2022. All adult patients who underwent emergency laparoscopic cholecystectomy due to acute cholecystitis who admitted to emergency surgery were included in the study regardless of age and gender. Results: Of the 74 patients who underwent emergency cholecystectomy, 34 (45.9%) were male, and 40 (54.1%) were female. The mean age of the patients was 51.16±17.74 (min:15-max:92) years.The age group in which emergency cholecystectomy was needed most was 36-45 and 56-65. The comorbidity of the patients was mainly in the 36-65 age group. HT+DM was the most common comorbid disease in the patients. After 36 years of age, morbidity increased with age.The removed gallbladders were sent to pathology. The results were consistent primarily with chronic cholecystitis (51.4%) and acute cholecystitis (24.3%). Two (2.7%) patients developed adenocarcinoma.Wound infection developed in two patients during post-op follow-up. One (1.4%) patient died due to sepsis. Conclusion: Emergency Laparoscopic cholecystectomy is associated with less overall morbidity and shorter hospital stay in recurrent episodes of acute cholecystitis. Our study showed that a team experienced in hepatobiliary surgery could safely perform LC in acute cholecystitis attacks.