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Diagnosis and Treatment of Acute Cholecystitis

  • Giuseppe Borzellino
  • Edoardo Saladino
  • Manuela De Luca
  • Claudio Cordiano

Abstract

Since the first cholecystectomy was performed by Langenbuch in 1882 [1], surgery has been the treatment of choice for acute gallstone cholecystitis. However, patients who underwent urgent surgery suffered from high mortality and morbidity mainly due to their general condition, to difficulties arising from the inflammatory changes in Callot triangle dissection and open common bile duct exploration when choledocolithiasis made it necessary [2, 3, 4]. Delayed surgery was advocated as a result, but reported complications of acute cholecystitis in up to 18% of patients awaiting surgery led to questions about the timing of surgery [5, 6]. The randomised controlled trials (RCTs) on early versus delayed surgery performed in the eighties show better outcomes with urgent cholecystectomy [7, 8, 9, 10], but the issue of critically ill patients and severe acute cholecystitis was still a problem.

Keywords

Laparoscopic Cholecystectomy Acute Cholecystitis Liver Abscess Common Bile Duct Stone Percutaneous Cholecystostomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Giuseppe Borzellino
    • 1
  • Edoardo Saladino
    • 1
  • Manuela De Luca
    • 1
  • Claudio Cordiano
    • 1
  1. 1.Department of Surgery University Hospital O.C.M. Borgo TrentoUniversity of VeronaVeronaItaly

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