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[Therapy of the "acute gallbladder"].
1Chirurgische Klinik und Poliklinik der Universität München, Klinikum Grosshadern.
Langenbecks Archiv Fur Chirurgie
|January 1, 1988
Summary
Early cholecystectomy is standard for acute gallstone cholecystitis. Percutaneous cholecystostomy is preferred for stress-induced acalculous cholecystitis, with ultrasound confirming diagnosis. Combined operations are suitable for select patients.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Diagnostic Imaging
- Surgical Interventions
Context:
- Acute cholecystitis management strategies
- Indications for percutaneous cholecystostomy
- Patient selection for combined surgical procedures
Purpose:
- To outline current treatment approaches for acute cholecystitis, differentiating between stone-related and acalculous types.
- To highlight the role of ultrasound in diagnosis.
- To define criteria for performing simultaneous cholecystectomy and common bile duct revision.
Summary:
- Early cholecystectomy is the primary treatment for acute stone-related cholecystitis.
- Percutaneous cholecystostomy is increasingly favored for stress-related acalculous cholecystitis.
- Ultrasound confirms diagnosis; combined operations are for specific, low-risk patients under 65.
- In-hospital mortality for these procedures is approximately 3%.
Impact:
- Informs clinical decision-making for acute cholecystitis management.
- Emphasizes minimally invasive techniques where appropriate.
- Provides data on procedural risks and outcomes.