79 -3 (89) 2026 - Nekova K.Kh. - OPTIMIZATION OF SURGICAL TREATMENT OF ACUTE CHOLECYSTITIS BASED ON CLINIC-LABORATORY AND MORPHOLOGICAL INDICATORS

OPTIMIZATION OF SURGICAL TREATMENT OF ACUTE CHOLECYSTITIS BASED ON CLINIC-LABORATORY AND MORPHOLOGICAL INDICATORS

Nekova K.Kh. - Bukhara State Medical Institute named after Abu Ali Ibn Sina

Resume

This study aims to optimize surgical management of acute cholecystitis based on the analysis of clinical, laboratory, and morphological indicators. A retrospective analysis of 527 patients was performed. Among them, 263 patients required conversion from laparoscopic cholecystectomy to open surgery, while 264 procedures were completed laparoscopically. Clinical, laboratory, and ultrasound parameters were evaluated, including leukocyte count, gallbladder wall thickness, presence of pericholecystic fluid, and morphological changes in tissues. The results demonstrated that leukocytosis, gallbladder wall thickening greater than 4–5 mm, presence of pericholecystic fluid, and pronounced inflammatory changes significantly increase the risk of intraoperative difficulties and conversion to open surgery. Comprehensive assessment of these parameters improves preoperative risk stratification and facilitates the selection of optimal surgical tactics aimed at reducing complications and improving the safety of surgical treatment

Keywords: acute cholecystitis, laparoscopic cholecystectomy, conversion, inflammatory markers, surgical strategy, morphological changes.

First page

486

Last page

493

For citation:Nekova K.Kh. - OPTIMIZATION OF SURGICAL TREATMENT OF ACUTE CHOLECYSTITIS BASED ON CLINIC-LABORATORY AND MORPHOLOGICAL INDICATORS//New Day in Medicine 3(89)2026 486-493 https://newdayworldmedicine.com/en/new_day_medicine/3-89-2026

List of References

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