Laparoscopic cholecystectomy in patients with COVID–19 and in a postcovid period

Keywords: laparoscopic cholecystectomy, COVID-19

Abstract

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.

Author Biographies

V. V. Mіshchenko, Odessa National Medical University

Mishchenko Vasyl Vasyliovych - MD, DSci(Med), Professor,
Professor of the Department of Surgery No 1,
Odessa National Medical University.
33a Knyazheska str., apt. 7, 65023, Odessa, Ukraine
+380677496758
mischenko_vasil@i.ua
https://orcid.org/0000-0002-5951-3463.

P. І. Pustovoit, Odessa Regional Clinical Hospital

Pustovoit Petro Ivanovych - MD, PhD(Med), Associate Professor,
Head of the Department of Invasive Methods of Diagnosis and Treatment
Odessa Regional Clinical Hospital,
16 Limanna str., 65013. Odessa, Ukraine
+380674806996,
peterpustovoit@gmail.com
https://orcid.org/0000-0002-5515-5638

R. Yu. Vododiuk, Odessa National Medical University

Vododiuk Roman Yuriyovych - MD, PhD(Med), Assistant
Department of Surgery No 1,
Odessa National Medical University.
34 Ivan and Yuri Lip str, apt. 5065078. Odessa, Ukraine
+380677186863
vododuk_r@ukr.net
https://orcid.org/0000-0002-6089-8612.

V. V. Velichko, Odessa National Medical University

Velichko Vladyslav Valeriyovych - MD, PhD(Med), Assistant
Department of Surgery No 1,
Odessa National Medical University.
64 Odesa Str., 65025, Odessa region, Odessa district, village Fontanka,
+380505755783,
vlvelichko13@gmail.com
https://orcid.org/0000-0001-7253-3090

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Published
2021-11-28
How to Cite
MіshchenkoV. V., PustovoitP. І., Vododiuk, R. Y., & Velichko, V. V. (2021). Laparoscopic cholecystectomy in patients with COVID–19 and in a postcovid period. Klinicheskaia Khirurgiia, 88(9-10), 62-66. https://doi.org/10.26779/2522-1396.2021.9-10.62
Section
General Problems of Surgery

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