Original Paper Histologic Aspects and Outcome of Laparoscopic Cholecystectomy in Chronic Acalculous Cholecystitis

Aim: to investigate the histologic lesions and outcome of laparoscopic cholecistectomy in chronic acalculous cholecystitis. Material and method: analysis of 63 cases of chronic acalculous cholecystitis operated on between 2003-2007. There were 50 women and 13 men with median age of 52 years. Clinic, laboratory and imagistic investigations eliminated other digestive diseases mainly in the gastro-duodenal area. Surgical intervention consisted in laparoscopic cholecistectomy. All removed gallbladders were sent to histologic examination. The patients were questioned by telephone upon the persistence of symptoms and the degree of satisfaction of surgery.Results: there were no Intraoperative accidents. Postoperative complications were minor. There was no postoperative mortality. In 59 cases (93,65%) histologic lesions were noted: chronic cholecystitis - 26 cases, chronic cholecystitis and cholesterolosis - 10 cases, cholesterolosis - 7 cases, focal acute cholecystitis on chronic cholecystitis - 6 cases. In 4 cases (6,35%) the histologic examination found no lesion. 61 patients (96,8%) expressed the disappearance of the symptoms and a good and very good degree of satisfaction. Conclusions: In chronic acalculous cholecystitis the indication for surgery is based upon patient's symptoms and exclusion of other digestive diseases. The histologic examination establishes the diagnosis of certitude. The laparoscopic approach offers conditions of full security and satisfaction for the patients.