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Early (<24 h) or Delayed Cholecystectomy for Acute Cholecystitis?

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Difficult Decisions in Hepatobiliary and Pancreatic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

The optimal timing for operation for acute calculous cholecysitis remains controversial. Two courses of surgical management have traditionally been pursued: (1) early laparoscopic cholecystectomy (within the first 72 h of onset of symptoms) or (2) initial conservative management with administration of intravenous antibiotics until inflammation resolves followed by delayed laparoscopic cholecystectomy (generally greater than 6 weeks after presentation). There is a growing body of evidence from both retrospective reviews of large clinical databases and prospective randomized controlled trials to recommend early laparoscopic cholecystectomy (ELC) over delayed laparoscopic cholecystectomy (DLC).

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Authors and Affiliations

  1. Section of General Surgery, University of Chicago Medicine, MC5031, 5841 S. Maryland Avenue, Chicago, IL, 60637, USA

    Stephan G. Wyers

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  1. Stephan G. Wyers
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Correspondence to Stephan G. Wyers .

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Editors and Affiliations

  1. The University of Chicago, CHICAGO, Illinois, USA

    J. Michael Millis

  2. The University of Chicago, CHICAGO, Illinois, USA

    Jeffrey B. Matthews

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Wyers, S.G. (2016). Early (<24 h) or Delayed Cholecystectomy for Acute Cholecystitis?. In: Millis, J., Matthews, J. (eds) Difficult Decisions in Hepatobiliary and Pancreatic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-27365-5_17

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  • DOI: https://doi.org/10.1007/978-3-319-27365-5_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27363-1

  • Online ISBN: 978-3-319-27365-5

  • eBook Packages: MedicineMedicine (R0)

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