Articles Vol. 67 No. CĐ7-Trường ĐH Y Dược Hải Phòng 06/07/2026

OUTCOMES OF LAPAROSCOPIC CHOLECYSTECTOMY FOR THE TREATMENT OF ACUTE CALCULOUS CHOLECYSTITIS IN ELDERLY PATIENTS AT VIET NAM – SWEDEN GENERAL HOSPITAL UONG BI

Tran Anh Cuong1,2, Le The Son3,4, Bui Van Viet1,2,5,6
1 Viet Nam – Sweden General Hospital Uong Bi, Quang Ninh, Viet Nam.
2 Bệnh viện Việt Nam Thụy Điển Uông Bí, Quảng Ninh.
3 Department of Surgery, Hai Phong University of Medicine and Pharmacy, Hai Phong, Viet Nam.
4 Bộ môn Ngoại-PTTH, Trường Đại học Y Dược Hải Phòng, Hải Phòng.
5 Department of Gastrointestinal Surgery, Viet Nam – Sweden General Hospital Uong Bi, Quang Ninh, Viet Nam.
6 Khoa Ngoại Tiêu Hóa, Bệnh viện Việt Nam Thụy Điển Uông Bí, Quảng Ninh.
DOI: 10.52163/yhc.v67iCD7.5617
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Keywords
Acute cholecystitis, gallstones, laparoscopic surgery, cholecystectomy, elderly patients.
Abstract

ABSTRACT

Objective: To evaluate the outcomes of laparoscopic cholecystectomy for the treatment of acute calculous cholecystitis in elderly patients at Viet Nam – Sweden Uong Bi Hospital.

Subjects and Methods: A descriptive cross-sectional study combining retrospective and prospective approaches was conducted on 85 patients aged ≥60 years who were diagnosed with acute calculous cholecystitis and underwent laparoscopic cholecystectomy between June 2022 and June 2025.

Results: The mean age was 73.7 ± 6.7 years, with a female-to-male ratio of 1.2:1. All patients had underlying comorbidities, with 91.8% having ≥2 chronic diseases, predominantly cardiovascular disorders (97.6%). According to the Tokyo Guidelines 2018, grade I–II accounted for 84.7% of cases. The mean operative time was 48.3 ± 17.5 minutes. Most procedures utilized three trocars (81.2%). No intraoperative complications were observed. The mean postoperative pain duration was 2.9 days (VAS 4.1), gradually decreasing over 2–5 days. Mean times to first flatus and oral intake were 2.2 and 2.3 days, respectively. The mean hospital stay was 8.9 days. Surgical site infection occurred in 9% of cases. Good outcomes were achieved in 81.2% of patients, with no cases of poor outcomes.

Conclusion: Laparoscopic cholecystectomy is a safe and effective method for the treatment of acute calculous cholecystitis in elderly patients.

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