CHOLECYSTITIS- CLINICAL AND THERAPEUTICAL ASPECTS

CHOLECYSTITIS, AN INFLAMMATORY AFFECTION WHICH OCCURS IN MOST CASES AS A COMPLICATION OF THE CHOLELITHIASIS , APPEARS IN TWO FORMS: ACUTE AND CHRO NIC. THE SURGICAL APPROACH OF THIS PATHOLOGY EVOLVED CONTINUALLY STARTING WITH THE FIRST CHOLECYSTECTOMY MADE BY LAUGENBUCH IN 1882 UP TO THE LAPAROSCOPIC CHOLECYSTECTOMY INTRODUCED IN 1985 WHICH BECAME” THE GOLDEN STANDARD” OF SURGERIES NOWADAYS. LAPAROSCOPIC CHOLECYSTECTOMY CAN TRIGGER A WHOLE RANGE OF COMPLICATIONS AND TECHNICAL DIFFICULTIES. THE AIM OF THE STUDY IS TO MAKE A RETROSPECTIVE ANALYSIS OF THE TREATMENT APPLIED TO PATIENTS HOSPITALIZED FOR ACUTE AND CHRONIC CHOLELITHIASIS IN THE SURGERY CLINIC OF THE RAILWAY CLINICAL HOSPITAL OF CRAIOVA OVER A PERIOD OF 3 YEARS. THE USED MATERIAL IS REPRESENTED BY THE CLINICAL OBSERVATION SHEETS, SURGICAL PROTOCOLS AND THE DISCHARGE SUMMARIES OF THE PATIENTS. FOR THE PATIENTS INCLUDED IN THE STUDY A WIDE RANGE OF DATA WAS ANALYZED: AGE, SEX, ORIGIN, TYPES OF SURGERIES, INTRASURGERY ACCIDENTS AND INCIDENTS. THE RESULTS WERE IN ACCORDANCE WITH SPECIALTY LITERATURE AND THE CONCLUSIONS WE REACHED ON CERTAIN ASPECTS WERE” SLIGHTLY DIFFERENT” COMPARISON WITH THE ONES FROM THE SPECIALTY LITERATURE.

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