Laparoscopic cholecystectomy in patients with COVID–19 and in a postcovid period
Objective. Determination of the role and place for laparoscopic cholecystectomy on background of COVID-19 and in postcovid period.
Materials and methods. Laparoscopic cholecystectomy was performed in 54 patients, suffering cholelithiasis, complicated by an acute calculous cholecystitis, who suffered or have had COVID-19 previously.
Results. Duration of the disease befor hospitalization into the stationary more than 24 h was noted in 45(83,3%) patients. Destructive form of the gallbladder inflammation have appeared a typical one. Antibodies IgM and IgG for SARS-Cov-2 (COVID-19) and positive PCR-test, diagnostic for the viral RNA residuals was noted in 100% of the patients.
Conclusion. The cholelithiasis and an acute clculous cholecystitis course in the patients, suffering COVID-19 or those who have had this disease, is accompanied by certain clinical peculiarities. Diagnosis of cholelithiasis and an acute calculous cholecystitis in the patients having COVID-19 or in a postcovid period must be rapid and precise. Laparoscopic cholecystectomy must be considered a «gold standard» as the operation for cholelithiasis and an acute calculous cholecystitis in the patients, suffering COVID-19 or in a postcovid period.
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