CHARACTERISTICS OF INDIVIDUALS WITH CHRONIC CALCULOUS CHOLECYSTITIS AT THE ACUTE PERIOD OF REHABILITATION AS A PREREQUISITE FOR THE CREATION OF INDIVIDUAL REHABILITATION PROGRAMS AFTER CHOLECYSTECTOMY

Abstract

Relevance of the problem. Gallstone disease is very common. Approximately 10-20% of the world’s population develop gallstones at some point in their lives, and about 80% of them are asymptomatic. In individuals with chronic calculous cholecystitis, this pathology is combined with other chronic non-infectious diseases: coronary heart disease, obesity, hypertension and diabetes, which affect the course and development of complications of individual pathologies, forming a comorbid complex of metabolic syndrome. The aim is to characterize individuals with chronic calculous cholecystitis at the acute stage of rehabilitation. The presence of concomitant chronic diseases and complications of laparoscopic cholecystectomy were analyzed. Methods: a retrospective analysis of the medical records of 50 individuals with chronic calculous cholecystitis who were treated in the surgical department of the Ivano-Frankivsk Central City Clinical Hospital was conducted. Research results. The specific gravity of individuals of working age (up to 60 years) was 66%. Middle-aged individuals (45-60 years) – 38%; elderly (61-75 years) – 34%; young age (25-44 years) – 28%. Of the 50 individuals, only 45 (90%) had a concomitant somatic pathology, one concomitant disease was detected in 16 individuals (32%), two in 13 individuals (26%), three in 9 (18%), four – in 3 individuals (6%), five in 2 individuals (4%), six – in 2 individuals (4%). The presence of concomitant somatic pathology increases the risks of creating a pneumoperitoneum, increases the surgical and anesthetic risk, creates prerequisites for postoperative complications and prolongs the patient’s stay in the hospital, the recovery period. 34% of individuals had postoperative complications: uncontrolled increases in blood pressure - 20%, acute pancreatitis - 10%, cholestasis - 4%, thrombophlebitis n/c - 4%, thrombosis - 4%, exacerbation of ulcer disease - 2%. Conclusions. The presence of concomitant pathology negatively affects the rehabilitation prognosis of such individuals. Instead of improving the quality of life after cholecystectomy, individuals face the consequences of exacerbation of chronic diseases immediately after surgery.