Effectiveness of the priority use of minimally invasive interventions in the surgical treatment of complicated forms of acute cholecystitis

Abstract

Aim. Evaluation of the results of differentiated use of minimally invasive methods of surgical treatment of
patients with complicated forms of acute cholecystitis.
Patients. The results of treatment of 82 patients with biliary peritonitis (BP) developed as a complication
of acute destructive cholecystitis were studied. There were 24 men (29,7%), women – 58 (70,3%). Mean
age 55,2±1,3 years. The comparison group included 33 (40,2%) patients who underwent open surgery.
The main group included 49 (59,8%) patients in whom minimally invasive surgical interventions were
used as priority methods of surgical treatment.
Results. The success rate of minimally invasive (diapeutical and laparoscopic) interventions in the treatment of local gallbladder that developed as a complication of acute cholecystitis was 67,3%.
Conclusion. In case of gallbladder disease, the expansion of indications for minimally invasive surgical interventions makes it possible to reduce the incidence of postoperative complications from 33,3 to 16,3%,
and mortality from 6,1 to 4,1%. In the treatment of diffuse bile-purulent peritonitis, a wide laparotomy is
indicated.