Analysis of reasons for reoperations in patients after cholecystectomy

Abstract

   Aim. To study reoperations after cholecystectomy in terms of their incidence, reasons, peculiarities and their significance when evaluating quality of medical care for patients with cholecystolithiasis.   Materials and methods. Cholecystectomy was performed in 1272 cases, repeated interventions – in 18 (1.4 %). The study involved determination of their structure, peculiarities, terms, and outcomes, as well as stratification of their severity. The electronic database of the clinic for 2016–2022 was used for the study.   Results. 1101 operations (86.6 %) were performed laparoscopically, 171 cases (13.4 %) involved open surgery. Repeated laparoscopic and open surgeries were performed in 10 (0.9 %) and 8 (4.8 %) cases. Following cholecystectomy, 11 patients (61.1 %) underwent surgery for chronic cholecystitis, 7 (38,9 %) – for acute cholecystitis; laparoscopy was used in 11 cases, traditional intervention – in 7. The reasons for repeated interventions included bleeding – in 11 cases (0.8 %), bile leakage – in 4 (0.31 %), and purulent-septic complications – 3 (0.23 %). In order to stop bleeding, theoperation was performed in 18 hours on average. No fatal outcomes reported.   Conclusion. The sufficient experience of the clinic in providing medical care to patients with cholecystolithiasis was proven by the prevalence of laparoscopic cholecystectomy, acceptable incidence of reoperations, as well as their timely and adequate performance.