Curr Health Sci J, vol. 39, no. 3, 2013

Histologic Aspects and Outcome of Laparoscopic Cholecystectomy in Chronic Acalculous Cholecystitis

[Original Paper]

V. SURLIN1, A. ROSU2, E. GEORGESCU1, D. MARGARITESCU1, CRISTIANA SIMIONESCU3, I. GEORGESCU1

1 Surgery Clinic no.1, University of Medicine and Pharmacy of Craiova; 2 Clinic of Surgery, County Emergency Hospital of Slatina; 3 Department of Pathology, County Clinical Emergency Hospital of Craiova


Abstract:

Aim: to investigate the histologic lesions and outcome of laparoscopic cholecistectomy in chronic acalculous cholecystitis. Material and method: analysis of 63 cases of chronic acalculous cholecystitis operated on between 2003-2007. There were 50 women and 13 men with median age of 52 years. Clinic, laboratory and imagistic investigations eliminated other digestive diseases mainly in the gastro-duodenal area. Surgical intervention consisted in laparoscopic cholecistectomy. All removed gallbladders were sent to histologic examination. The patients were questioned by telephone upon the persistence of symptoms and the degree of satisfaction of surgery. Results: there were no Intraoperative accidents. Postoperative complications were minor. There was no postoperative mortality. In 59 cases (93,65%) histologic lesions were noted: chronic cholecystitis – 26 cases, chronic cholecystitis and cholesterolosis – 10 cases, cholesterolosis – 7 cases, focal acute cholecystitis on chronic cholecystitis – 6 cases. In 4 cases (6,35%) the histologic examination found no lesion. 61 patients (96,8%) expressed the disappearance of the symptoms and a good and very good degree of satisfaction. Conclusions: In chronic acalculous cholecystitis the indication for surgery is based upon patient`s symptoms and exclusion of other digestive diseases. The histologic examination establishes the diagnosis of certitude. The laparoscopic approach offers conditions of full security and satisfaction for the patients.


Keywords:
chronic acalculous cholecystitis, laparoscopic cholecystectomy



Corresponding:
Valeriu Surlin, MD,PhD, Surgery Clinic no.1, Emergency County Hospital of Craiova, Tabaci St. no.1, Craiova, Dolj, e-mail: vsurlin@gmail.com


DOI 10.12865/CHSJ.39.03.09 - Download PDF