Abstract:
Objective To investigate the optimal operation time of acute acalculous cholecystitis (AAC).
Methods Retrospectively analyze the data of 42 AAC patients undergoing laparoscopic surgery from January 2015 to January 2020. The patients were divided into the<72 h (29 cases) group and >72 h group (13 cases) according to the onset time of AAC. SAS 6.12 statistical software was used to analyze the data. χ2 test was used to analyze the intraoperative gallbladder lesions, surgical methods and postoperative complication rate, P<0.05 was considered statistically significant.
Results Edema and suppuration were the main gallbladder lesions in the<72 h group, the proportion of necrosis and perforation increased in the >72 h group, Laparoscopic subtotal cholecystectomy and cholecystostomy were the main surgical methods. The incidence of postoperative complications such as bleeding, bile leakage, abdominal infection, pulmonary infection and multi-organ failure was higher than that in the <72 h group, with statistical significance (P<0.05).
Conclusion The operation should be performed within 72 hours after the onset of AAC.
Key words:
Acute acalculous cholecystitis,
Cholecystectomy, laparoscopic,
Necrosis,
Postoperative complications,
Cholecystostomy
Dezhi Shao, Zhiyi Feng, Naichao Guo, Yanlin Lvy, Xiaocui Wang, Yuhao Dong. Diagnosis and treatment of 42 cases of acute acalculous cholecystitis[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(04): 434-436.