Assessment of comorbidity in patients with acute calculous cholecystitis with laparoscopic cholecystectomy

Authors

  • N. A. Melnyk I. Horbachevsky Ternopil National Medical University
  • Yu. V. Zaporozhets I. Horbachevsky Ternopil National Medical University
  • D. V. Osadchuk I. Horbachevsky Ternopil National Medical University
  • O. I. Dziubanovskyi I. Horbachevsky Ternopil National Medical University
  • S. R. Pidruchna I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2021.4.12723

Keywords:

acute calculous cholecystitis, comorbidity, laparoscopic cholecystectomy

Abstract

The aim of the work: to establish the frequency and level of comorbidity in patients with acute calculous cholecystitis (ACC), who underwent laparoscopic cholecystectomy.

Materials and Methods. 457 patients with ACC who were hospitalized in the City Hospital No. 2 in Ternopil were operated on. All of them underwent clinical and laboratory, instrumental examinations and verified the diagnosis of ACC. The surgery was performed laparoscopically. Patients who scored 4–3 points were considered favorable, and 0–2 points were unfavorable. Comorbidity was assessed using a special index, the Charlson Comorbidity Index (M. E. Charlson, 1987).

Results and Discussion. The Charleston comorbidity index averaged (3.91±1.9) points. Most patients had a comorbidity index of 3–5 points, which indicates the presence of concomitant pathology in the vast majority of patients. Concomitant diseases were dominated by diseases of the cardiovascular system: myocardial infarction 11 (2.5 %), hypertension 41 (9 %), coronary heart disease 132 (29 %), cardiac arrhythmias 173 (38 %), congestive heart failure 18 (4 %). Thus, predicting the mortality of the studied cohort of patients who underwent cholecystectomy, we can predict the highest rates with concomitant cardiovascular and pulmonary pathology, to a lesser extent with varicose veins and diabetes. With age, the comorbidity index increases, and the course of comorbidities worsens and the risk of complications increases.

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Published

2022-02-18

How to Cite

Melnyk, N. A., Zaporozhets, Y. V., Osadchuk, D. V., Dziubanovskyi, O. I., & Pidruchna, S. R. (2022). Assessment of comorbidity in patients with acute calculous cholecystitis with laparoscopic cholecystectomy. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 85–90. https://doi.org/10.11603/2414-4533.2021.4.12723

Issue

No. 4 (2021)

Section

EXPERIENCE OF WORK

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