Surgical treatment of acute calculous cholecystitis complicated with hepatic dysfunction.

Abstract:

:To evaluate the timing, feasibility, and necessity of early laparoscopic cholecystectomy (LC) in the management of patients with acute calculous cholecystitis complicated with hepatic dysfunction.The clinical data of 60 patients with acute calculous cholecystitis complicated with hepatic dysfunction treated from January 2016 to January 2018 were analyzed retrospectively. A total of 32 patients underwent LC within 72 hours of the cholecystitis attack, 28 patients after 72 hours. The results were compared with those from 28 patients with delayed LC.All the patients were operated by experienced surgeons, and no LC transfer to open operation. No significant differences were detected in the operation time, postoperative complications, intraoperative blood loss, white TBIL, ALT, GGT before and after the operation between the 2 groups (P > .05). Patients who underwent early LC had a short hospital stay and fewer hospital costs (P < .05). All the patients were cured.It is safe, feasible, and necessary to perform LC within 72 hours in patients with acute calculous cholecystitis complicated with hepatic dysfunction. Such patients show a high positive correlation between the inflammation of acute calculous cholecystitis and the damage of hepatic function.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Tian Y,Suo X

doi

10.1097/MD.0000000000020239

subject

Has Abstract

pub_date

2020-06-12 00:00:00

pages

e20239

issue

24

eissn

0025-7974

issn

1536-5964

pii

00005792-202006120-00006

journal_volume

99

pub_type

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