2017 - Ferhat ÇAY,Mustafa GİRGİN - https://doi.org/10.30569/adiyamansaglik.375097
Özet:Purpose: Laparoscopic cholecystectomy has become the best treatment method for the patients with symptomatic gallstones. However, "the gold standard" treatment method is still not clear for patients with acute cholecystitis. The aim of our study is to examine the results of early cholecystectomy applied to patients with acute cholecystitis together with the literature review. Methods: 106 patients with acute cholecystitis who underwent early laparoscopic cholecystectomy were retrospectively studied between September 2014 and September 2017. Result: The total number of the patients was 106, 71 of which were female and 35 of which were male. The average age of the patients was 49.5 (16-83). Laparoscopic cholecystectomy was successfully performed in 92 of 106 acute cholecystitis cases whereas 14 patients underwent open surgery. The average duration of the surgery was determined to be 57.5 minutes. Drains were placed in the subhepatic region at 56 patients (53%). The numbers of the patients with gallbladder perforation, empyema of the gallbladder, and pericholecystic fluid were 9 (8%), 19 (18%), and 3 (3%) respectively. 11 patients (10%) developed postoperative complication. Conclusion: Surgical treatment has come to forefront for the patients with early acute cholecystitis. Considering both the duration of the operation and postoperative morbidity and mortality rates, laparoscopic cholecystectomy has still been the effective treatment method for early acute cholecystitis.
Anahtar Kelime:Laparoscopy, cholecystitis, cholelithiasis