OBSERVATION OF THE THERAPEUTIC EFFECT OF SURGERY FOR SENILE ACUTE SUPPURATIVE CHOLECYSTITIS

Abstract Objectives To analyze the therapeutic effect of surgery for senile acute suppurative cholecystitis. Methods Sixty elderly patients with acute suppurative cholecystitis who underwent surgery in our hospital from January 2024 to December 2024 were selected as the subjects of this study. According to the treatment time, patients were divided into control group (30 cases, open surgery) and observation group (30 cases, minimally invasive surgery), and the therapeutic effects of the two groups were compared. Results Surgery time, hospital stay, pain scores and quality of life scores in the observation group were 111 ± 32.21, 5.2 ± 1.4, 1.3 ± 0.11 and 95.3 ± 8.4, which were better than those in the control group at 130 ± 28.21, 7.1 ± 1.0, 3.3 ± 0.21 and 82.1 ± 7.1. The incidence rates of bile duct injury, postoperative incision infection, postoperative bleeding, intestinal dysfunction and pulmonary complications in the observation group were 10.00%, lower than that in the control group of 43.3%. Conclusions During the treatment of senile acute suppurative cholecystitis, the use of minimally invasive surgery can achieve better therapeutic effects compared to traditional open surgery, which is beneficial for shortening the patient’s surgery time, reducing the patient’s hospital stay, lowering the incidence rates of complications and pain. The overall efficacy is good. In future treatment interventions, minimally invasive surgery can be combined with the patient’s actual situation to promote better recovery.