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Surgery for acute and chronic cholecystitis.

R E Hermann1

  • 1Department of General Surgery, Cleveland Clinic Foundation, Ohio.

The Surgical Clinics of North America
|December 1, 1990
PubMed
Summary

Cholecystectomy is the definitive treatment for acute and chronic cholecystitis, offering effective therapy with a low mortality rate. Cholecystostomy is also a viable option for these gallbladder conditions.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Acute and chronic cholecystitis are common gallbladder conditions.
  • Surgical intervention is often required for inflammatory biliary stone disease.

Purpose of the Study:

  • To review the pathogenesis, diagnosis, and surgical treatment of acute and chronic cholecystitis.
  • To evaluate the efficacy and safety of cholecystectomy and cholecystostomy.

Main Methods:

  • Review of surgical techniques for cholecystostomy, cholecystectomy, and intraoperative cholangiography.
  • Analysis of mortality rates associated with cholecystectomy.

Main Results:

  • Cholecystectomy is the gold standard for treating inflammatory biliary stone disease.
  • The overall mortality rate for cholecystectomy is approximately 0.5%, with a slight increase in acute cases and older patients.

Conclusions:

  • Cholecystectomy is the most effective and definitive treatment for acute and chronic cholecystitis.
  • Cholecystostomy remains an appropriate and effective alternative therapy.

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