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Updated: Jul 26, 2025
03:27
The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
Published on: January 31, 2025
596
[Management of acute cholecystitis]
Djana Rrupa1, Margaux Robert-Dubois2, Emilie Uldry1
1Service de chirurgie viscérale, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Revue Medicale Suisse
|June 14, 2023
Summary
Acute cholecystitis, gallbladder inflammation often caused by gallstones, is best treated with early laparoscopic cholecystectomy. Alternative drainage options exist for non-surgical candidates.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Innovation
Context:
- Acute cholecystitis is a common gallbladder inflammation, frequently linked to gallstones.
- The Tokyo criteria provide established diagnostic and severity guidelines.
- Laparoscopic cholecystectomy is the standard surgical approach.
Purpose:
- To outline the current management strategies for acute cholecystitis.
- To highlight the role of Tokyo criteria in diagnosis and severity assessment.
- To discuss surgical and non-surgical treatment options.
Summary:
- Early laparoscopic cholecystectomy is the preferred treatment for acute cholecystitis.
- The procedure is safe and effective even in elderly patients and pregnant women.
- Percutaneous or echo-endoscopic gallbladder drainage (EUS-GBD) offers an alternative for non-surgical candidates.
- Management requires individualized risk-benefit assessment.
Impact:
- Optimized patient care through tailored treatment selection.
- Improved outcomes for acute cholecystitis patients by considering all available therapeutic options.
- Reduced morbidity and mortality associated with acute cholecystitis.
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