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Laparoscopy and Acute Cholecystitis: The Evidence

  • Fabio Cesare CampanileEmail author
  • Alessandro Carrara
  • Michele Motter
  • Luca Ansaloni
  • Ferdinando Agresta
Chapter
  • 1.6k Downloads

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.

Keywords

Laparoscopic Cholecystectomy Acute Cholecystitis Bile Duct Injury Open Cholecystectomy Percutaneous Cholecystostomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Fabio Cesare Campanile
    • 1
    Email author
  • Alessandro Carrara
    • 2
  • Michele Motter
    • 2
  • Luca Ansaloni
    • 3
  • Ferdinando Agresta
    • 4
  1. 1.Division of General Surgery, AUSL ViterboHospital S. Giovanni Decollato AndosillaCivita CastellanaItaly
  2. 2.I Divisione Chirurgia GeneraleOspedale S. ChiaraTrentoItaly
  3. 3.Unit of General Surgery IPapa Giovanni XXIII HospitalBergamoItaly
  4. 4.Department of General SurgeryULSS19 del VenetoAdriaItaly

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