Study on pathological characteristics and results of surgical treatment for cholecystitis in the elderly
- Author:
Quyet Van Ha
;
Dung Viet Hoang
- Publication Type:Journal Article
- Keywords:
cholecystitis;
elderly;
chronic inflammation
- MeSH:
Cholecystitis/ pathology;
surgery;
- From:Journal of Surgery
2007;4(57):39-40
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Backgrounds: cholecystitis is a common disease in surgery. The rate of acute cholecystitis alone without gall stones in the literature is approximately 50-10% of all acute cholecystitis. In Vietnam, this prevalence is very high, up to 47% of acute cholecystitis alone and the disease is common in people over age 50, with a history of hypertension. Objectives: to descript clinical, paraclinical features, and results of acute cholecystitis surgical treatment (open surgery and laparoscopic surgery) in the elderly at Viet Duc Hospital. Subjectives and Method: a cross-sectional study was carried out on 119 patients aged 60 or older diagnosed with acute cholecystitis, was operated at the Viet Duc hospital from January 2006 to July 2006. Status of body organs was assessed by classification of the American Society of Anesthesiologists (ASA). Results: cholecystitis in the elderly was mainly caused by chronic inflammation due to stone (88.2%). The rate of acute inflammation accounts for 11.8%. Female (63.9%). The most commonly age group was from 60-69 years old. Scheduled surgery accounts for 75.6%, emergency surgery 24.4%. Open surgery accounted for 11.8%, laparoscopic surgery accounted for 84%. Earlier results: good 87.4%, average 8.4%, poor 4.2%. Results after 3 months: good result accounted for 88.7%. Conclussion: cholecystitis in the elderly was mainly caused by chronic inflammation due to stone. Surgical treatment was generally good results (including early and late results).
