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Updated: Aug 1, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
Published on: January 31, 2025
Decision-making process in long term acute cholecystitis
E Córdoba Díaz de Laspra1, C Ceballos Alonso, J M Artigas Martín
1General Surgery Department, Universitary Miguel Servet Hospital, Saragosa, Spain. ecordoba@arrakis.es
Objective:
To demonstrate that the categorization of different therapeutic options is essential for the decision-making applied to clinical management.
Method:
This paper compares the usefulness of percutaneous echo-guided cholecystostomy as the first therapeutic option in acute long-term cholecystitis versus the exclusive surgical or clinical management.
Result:
We have analyzed the usefulness of different therapeutic options in a case of long term acute cholecystitis and we have obtained the following results: isolated intravenous antibiotic therapy (0.76), surgery (0.73) and echo-guided cholecystostomy (0.93). This last option has provided good clinical-radiological results.
Conclusion:
Decision trees are a good methodological option as support of surgical and non surgical therapeutic procedures.
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