Acute cholecystitis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Surgical intervention is not recommended for the management of [disease name].
OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
Indications
- Surgical intervention is not recommended for the management of [disease name].
OR
- Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
- The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
Surgery
- Surgery is the mainstay of treatment for acute cholecystitis.[1][2]
- Laparoscopic cholecystectomy is considered the gold standard procedure for the treatment of acute cholecystitis.
- Early cholecystectomy (EC) is usually preferred over delayed cholecystectomy (DC).[3][4][5][6][7]
- Patients undergoing EC have following advantages over DC:
- Shorter hospital stays
- Lower costs
- No risk of emergency cholecystectomy
- EC has the following limitations:
- Increased intraoperative complications
- Increased postoperative complications
- Patients undergoing EC have following advantages over DC:
References
- ↑ Knab LM, Boller AM, Mahvi DM (2014). "Cholecystitis". Surg. Clin. North Am. 94 (2): 455–70. doi:10.1016/j.suc.2014.01.005. PMID 24679431.
- ↑ Soper NJ, Stockmann PT, Dunnegan DL, Ashley SW (1992). "Laparoscopic cholecystectomy. The new 'gold standard'?". Arch Surg. 127 (8): 917–21, discussion 921–3. PMID 1386505.
- ↑ Lo CM, Liu CL, Fan ST, Lai EC, Wong J (1998). "Prospective randomized study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis". Ann. Surg. 227 (4): 461–7. PMC 1191296. PMID 9563529.
- ↑ Johansson M, Thune A, Blomqvist A, Nelvin L, Lundell L (2003). "Management of acute cholecystitis in the laparoscopic era: results of a prospective, randomized clinical trial". J. Gastrointest. Surg. 7 (5): 642–5. PMID 12850677.
- ↑ Lai PB, Kwong KH, Leung KL, Kwok SP, Chan AC, Chung SC, Lau WY (1998). "Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis". Br J Surg. 85 (6): 764–7. doi:10.1046/j.1365-2168.1998.00708.x. PMID 9667702.
- ↑ Kolla SB, Aggarwal S, Kumar A, Kumar R, Chumber S, Parshad R, Seenu V (2004). "Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective randomized trial". Surg Endosc. 18 (9): 1323–7. doi:10.1007/s00464-003-9230-6. PMID 15803229.
- ↑ Ozkardeş AB, Tokaç M, Dumlu EG, Bozkurt B, Ciftçi AB, Yetişir F, Kılıç M (2014). "Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective, randomized study". Int Surg. 99 (1): 56–61. doi:10.9738/INTSURG-D-13-00068.1. PMC 3897343. PMID 24444271.