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Indications for and Considerations Surrounding Interval Cholecystectomy

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Abstract

The management strategies involving acute cholecystitis have evolved over time. Prior to 1970, management of acute cholecystitis included initial treatment of the inflammation with antibiotics if clinically feasible and time followed by elective open removal of the gallbladder 4–6 weeks after the acute episode. In the 1970s and 1980s, this paradigm began to change and early cholecystectomy became the treatment of choice. This approach allowed early cessation of the patient’s pain, a decreased length of stay, and a minimization of the complications associated with failed nonoperative management. Supporting this approach, studies demonstrated no difference in the amount of hemorrhage or the duration of surgery when compared to delayed open cholecystectomy [1–7].

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Correspondence to Christine S. Cocanour M.D., F.A.C.S., F.C.C.M. .

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Cocanour, C.S., Brown, I.E. (2015). Indications for and Considerations Surrounding Interval Cholecystectomy. In: Eachempati, S., Reed, II, R. (eds) Acute Cholecystitis. Springer, Cham. https://doi.org/10.1007/978-3-319-14824-3_13

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