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01.12.2016 | Review | Ausgabe 1/2016 Open Access

World Journal of Emergency Surgery 1/2016

2016 WSES guidelines on acute calculous cholecystitis

Zeitschrift:
World Journal of Emergency Surgery > Ausgabe 1/2016
Autoren:
L. Ansaloni, M. Pisano, F. Coccolini, A. B. Peitzmann, A. Fingerhut, F. Catena, F. Agresta, A. Allegri, I. Bailey, Z. J. Balogh, C. Bendinelli, W. Biffl, L. Bonavina, G. Borzellino, F. Brunetti, C. C. Burlew, G. Camapanelli, F. C. Campanile, M. Ceresoli, O. Chiara, I. Civil, R. Coimbra, M. De Moya, S. Di Saverio, G. P. Fraga, S. Gupta, J. Kashuk, M. D. Kelly, V. Khokha, H. Jeekel, R. Latifi, A. Leppaniemi, R. V. Maier, I. Marzi, F. Moore, D. Piazzalunga, B. Sakakushev, M. Sartelli, T. Scalea, P. F. Stahel, K. Taviloglu, G. Tugnoli, S. Uraneus, G. C. Velmahos, I. Wani, D. G. Weber, P. Viale, M. Sugrue, R. Ivatury, Y. Kluger, K. S. Gurusamy, E. E. Moore
Wichtige Hinweise
An erratum to this article can be found at http://​dx.​doi.​org/​10.​1186/​s13017-016-0088-z.

Abstract

Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, the identification of “high risk” patients, the surgical timing, the type of surgery, and the alternatives to surgery are discussed. Moreover the algorithm is proposed: as soon as diagnosis is made and after the evaluation of choledocholitiasis risk, laparoscopic cholecystectomy should be offered to all patients exception of those with high risk of morbidity or mortality. These Guidelines must be considered as an adjunctive tool for decision but they are not substitute of the clinical judgement for the individual patient.
Literatur
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