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Laparoscopy and Acute Cholecystitis: The Evidence

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Laparoscopic Cholecystectomy

Abstract

The laparoscopic approach for acute cholecystitis has gained wide acceptance over the years. The indications for laparoscopic cholecystectomy in an acute setting are examined and the evidence provided by the literature reviewed. Today, the laparoscopic cholecystectomy can be considered the treatment of choice for acute cholecystitis. Severe (gangrenous, empyematous) cholecystitis and advanced age do not preclude the laparoscopic indication. Surgery should be done as soon as possible rather than delayed after the resolution of the acute phase. Percutaneous cholecystostomy cannot be recommended as part of a routine protocol for treatment of acute calculous cholecystitis. At present, no evidence-based classification allows us to tailor the treatment of every single patient according to the general or local conditions.

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Authors and Affiliations

  1. Division of General Surgery, AUSL Viterbo, Hospital S. Giovanni Decollato Andosilla, via Ferretti 169, Civita Castellana, 01033, Italy

    Fabio Cesare Campanile MD, FACS

  2. I Divisione Chirurgia Generale, Ospedale S. Chiara, Trento, Italy

    Alessandro Carrara MD & Michele Motter MD

  3. Unit of General Surgery I, Papa Giovanni XXIII Hospital, Piazza OMS 1, Bergamo, 24128, Italy

    Luca Ansaloni MD

  4. Department of General Surgery, ULSS19 del Veneto, Piazzale Etruschi 9, Adria, RO, 45011, Italy

    Ferdinando Agresta MD

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  1. Fabio Cesare Campanile MD, FACS
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  2. Alessandro Carrara MD
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  3. Michele Motter MD
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  4. Luca Ansaloni MD
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  5. Ferdinando Agresta MD
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Correspondence to Fabio Cesare Campanile MD, FACS .

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Editors and Affiliations

  1. Department of General Surgery, ULSS19 del Veneto, ADRIA, Rovigo, Italy

    Ferdinando Agresta

  2. Division of General Surgery, Hospital S.Giovanni Decollato Andosilla, Civita Castellana, Viterbo, Italy

    Fabio Cesare Campanile

  3. Unit of Laparoscopic Surgery, Hospital Mellino Mellini, Chiari, Brescia, Italy

    Nereo Vettoretto

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Campanile, F.C., Carrara, A., Motter, M., Ansaloni, L., Agresta, F. (2014). Laparoscopy and Acute Cholecystitis: The Evidence. In: Agresta, F., Campanile, F., Vettoretto, N. (eds) Laparoscopic Cholecystectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-05407-0_5

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