The aim was to evaluate the possibility and laparoscopic cholecystectomy (LCE) results in patients of different age groups with acute cholecystitis and its complicated forms.
Materials and methods. LCE results of 1197 patients with acute cholecystitis and its complicated forms who were treated inKyivAlexanderHospital and Kyiv City Clinical Hospital N 9 in a period 2009–2014 were studied. Patients included 223 men (18.6%) and 974 women (81.4%) aged 23–93 years. Patients with complicated forms of acute cholecystitis were more prevalent in the age group of 60 years and older: paravesical infiltrate met 2 times more likely than in patients under 59 years, paravesical abscess is almost 4 times, gallbladder perforation — 4 times more often. Laparoscopic cholecystectomy was performed as standard.
Results and discussion. It was found that greater number of acute cholecystitis complicated forms was prevalent in patients of older age group (60 years and older). The number of conversions (0.4% vs. 0.3%) in patients of elderly age group and frequency of inflammatory wound and abdominal complications didn’t exceed those in comparison with the group of patients under 59 years.
Conclusions. Laparoscopic surgery method reduces the incidence of inflammatory suppurative wound and abdominal complications, mortality rate, reduces inpatient staying compared to conventional cholecystectomy.