Danylіuk M. B., Zavhorodniy S. M., Kubrak M. A., Yareshko N. O., Bachurin A. V., Chemerys Yu. O.

MODIFICATION OF APPROACHES IN THE TREATMENT OF GERIATRIC PATIENTS WITH ACUTE CHOLECYSTITIS AGAINST THE BACKGROUND OF GALLSTONE DISEASE IN THE CONTEXT OF EMERGENCY ABDOMINAL SURGERY

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About the author:

Danylіuk M. B., Zavhorodniy S. M., Kubrak M. A., Yareshko N. O., Bachurin A. V., Chemerys Yu. O.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

Acute cholecystitis caused by gallstone disease is one of the most common acute abdominal surgical nosologies, second only to acute appendicitis. Given the frequency of this pathology, the issue of treating acute cholecystitis in elderly and senile patients remains relevant. This study is based on a modification of the perioperative treatment algorithm for acute cholecystitis in elderly and senile patients. The study analyzed treatment with modified approaches in 80 (47.1%) patients, with an average age of 72.5±8.2 years, in the group; the elderly predominated in the age distribution. The comparison group consisted of 90 (52.9%) patients who were examined and treated according to standard hospital clinical protocols. Based on our study, it was determined that the modification of preoperative treatment of elderly and senile patients in the main group allowed for a complete preoperative examination of patients and increased the frequency of laparoscopic cholecystectomy. The effectiveness of the modified pre- and intraoperative treatment tactics was demonstrated by a statistically lower P-POSSUM score and a decrease in the frequency of postoperative complications in the main study group.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2025 Issue 4, 179, 119-129 pages, index UDC 616.366-002-06:616.366-003.7]-053.9-083.98-089

DOI:

10.29254/2077-4214-2025-4-179-119-129