22 -1 (87) 2026 - Ismailov U.S., Kodirov F.U. - SURGICAL TACTICS IN ACUTE- OBSTRUCTIVE CHOLECYSTITIS

SURGICAL TACTICS IN ACUTE- OBSTRUCTIVE CHOLECYSTITIS

Ismailov U.S. - Tashkent State Medical University

Kodirov F.U. - Tashkent State Medical University

Madatov K.A. - Tashkent State Medical University

Matmuratov S.K. - Tashkent State Medical University

Resume

The article focuses on the diagnosis and surgical treatment tactics of acute calculous obstructive cholecystitis. This pathology is one of the most common urgent surgical conditions of the abdominal organs. The study included 184 patients. The majority of cases - 139 (75.5%) - were female patients, while 45 (24.5%) were male. The average age of the patients was 49.4±6.23 years. When performing surgical interventions for acute calculous obstructive cholecystitis, the condition of vital organs and systems, age, concomitant diseases, and severity of endotoxemia are of significant importance. Surgical tactics for acute destructive cholecystitis are differentiated, and the choice of minimally invasive intervention is determined by the nature and severity of local changes, the presence of local and general complications, as well as the severity of concomitant pathology. In cases of acute destructive cholecystitis with pathomorphological changes in the hepatoduodenal ligament and disease duration of no more than 72 hours, the optimal treatment method is cholecystectomy through a mini-laparotomy approach.

Keywords: acute calculous obstructive cholecystitis, cholecystectomy, microcholecystostomy.

First page

119

Last page

122

For citation:Ismailov U.S., Kodirov F.U., Madatov K.A., Matmuratov S.K. - SURGICAL TACTICS IN ACUTE- OBSTRUCTIVE CHOLECYSTITIS//New Day in Medicine 1(87)2026 119-122 https://newdayworldmedicine.com/en/new_day_medicine/1-87-2026

List of References

  1. Клинические рекомендации Российской гастроэнтерологической ассоциации по диагностике и лечению острого холецистита/ А.Г. Бебуришвили [др.] - Москва, 2019;(4-7):13-30
  2. Михин И. В., Кухтенко Ю. В., Косивцов О. А., Доронин М. Б. Дифференцированный подход к выбору варианта малоинвазивного хирургического лечения пациентов, страдающих разными формами калькулезного холецистита // Эндоскопическая хирургия. 2019;1:3-8.
  3. Совцов С.А., Прилепина Е.В. Возможности улучшения результатов лечения острого холецистита // Хирургия. 2022;2:50-55.
  4. Duncan CB, Riall TS. Evidence-based current surgical practice: calculous gallbladder disease. J Gastrointest Surg 2022;16:2011-2025 [PMID: 22986769 DOI: 10.1007/s11605-012-2024-1]
  5. Riall TS, Zhang D, Townsend CM, Kuo YF, Goodwin JS. Failure to perform cholecystectomy for acute cholecystitis in elderly patients is associated with increased morbidity, mortality, and cost. J Am Coll Surg 2020;(210):668-677,677-679 [PMID: 20421027 DOI: 10.1016/j.jamcollsurg.2009.12.031]
  6. Shaffer EA. Gallstone disease: Epidemiology of gallbladder stone disease. Best Pract Res Clin Gastroenterol 2016;20:981-996 [PMID: 17127183 DOI: 10.1016/j.bpg.2006.05.004]
  7. Sugrue M, Sahebally SM, Ansaloni L, Zielinski MD. Grading operative findings at laparoscopic cholecystectomy- a new scoring system. World J Emerg Surg 2015;10:14 [PMID: 25870652 DOI: 10.1186/s13017-015-0005-x]
  8. Yokoe M., et al. New diagnostic criteria and severity assessment of acute cholecystitis in revised Tokyo guidelines. J. Hepatobiliary. Pancreat. Sci. 2020;12(19):578-585.

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