[Laparoscopic cholecystectomy of acute XXXX ].

@entity1 @entity2679 @entity260
INTRODUCTION: Laparoscopic cholecystectomy is a method of choice for surgical treatment of diseases of gallbladder. Although most surgeons today use laparoscopic cholecystectomy in treatment of severe acute @entity2679 , most surgeons still consider acute @entity2679 a relevant contraindication for laparoscopic cholecystectomy because of "confused" anatomy and "severe" pathology. Aim of the study was to analyze laparoscopic cholecystectomy outcomes in treatment of acute @entity2679 . MATERIAL AND METHODS: A prospective analysis included 78 @entity1 operated for acute calculose @entity2679 from Jan 2007 to Dec 2008. We analyzed clinical characteristics of the course of disease, associated diseases, duration of operation, operative and @entity260 , reasons for conversion into open cholecystectomy. RESULTS: The study indicated a low percentage of operative and @entity260 , short stay in hospital, quick recovery and saving in treatment. The length of preoperative and postoperative hospitalization was 1.4 +/- 0.5 days and 2.5 +/- 1.6 days, respectively. 25 (32%) @entity1 were operated within 72 hours from the onset of symptoms,some operative difficulties were present in 56 (71%) @entity1 , light identification of artery and ductus cysticus in 30 (38.50%) @entity1 , intraoperative lesion of ductus choledohus in 1 (1.3%); in 6 (7.7%) @entity1 conversion into open cholecystectomy was done, the average duration of laparascopic cholecystectomy was 58.1 +/- 26.2 min. There were no lethal outcomes. CONCLUSION: Laparoscopic cholecystectomy is an efficient and reliable operative procedure in treatment of acute @entity2679 . It is much easier to select @entity1 for laparoscopic cholecystectomy when preoperative risk factors predicting difficulties during the operation are known. An early conversion into open cholecystectomy is a rational choice of any surgeon when anatomy is not clear and in cases of advanced inflammatory process in order to decrease operative and postoperative morbidity.
