KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI CẮT TÚI MẬT Ở BỆNH NHÂN VIÊM TÚI MẬT CẤP DO SỎI SAU DẪN LƯU TÚI MẬT XUYÊN GAN QUA DA

Abstract

Objectives: To evaluate the early outcomes of laparoscopic cholecystectomy in patients with acute calculous cholecystitiswho had previously undergone transhepatic percutaneous gallbladder drainage. Methods: A retrospective, prospective, cross-sectional descriptive study was conducted on 64 patients diagnosed with acute calculous cholecystitis who underwent ultrasound-guided transhepatic percutaneous gallbladder drainage followed by laparoscopic cholecystectomy at the Hepatobiliary and Pancreatic Surgery Department, Military Hospital 103, from February 2021 to October 2025. Results: The average age of patients was 67.41 ± 15.12 (30 - 92), with a female ratio of 64,1%. The mean interval from transhepatic percutaneous gallbladder drainage to laparoscopic cholecystectomy was 32.4 ± 12.1 days (range 3 - 71 days). All patients underwent laparoscopic cholecystectomy without conversion to open surgery. Intraoperatively, all patients with acute cholecystitis presented with omentum adhering to the gallbladder; purulent cholecystitis was observed in 76.6%, and pericholecystic fluid in 28.1%. The mean operative time was 83.37 ± 20.6 minutes. Postoperative complications occurred in 2 cases (3.1%). Most patients achieved good outcomes (98.4%), with a mean hospital stay of 6.56 ± 2.46 days. Conclusion: Laparoscopic cholecystectomy following transhepatic percutaneous gallbladder drainage is a safe and effective treatment, with low complication rates, a short hospital stay, and favorable clinical outcomes, and good treatment results.