UDK: 616.366-002.3-036.11-08
A. V. Stolin
Acute cholecystitis develops in 1—3 % of patients with symptomatic gall stones. Patients with suspected acute cholecystitis should be referred to the hospital and, if the diagnosis is confirmed, early surgery is indicated. Diagnosis of acute cholecystitis is made on the basis of symptoms and signs of inflammation in patients and is supported by results of ultrasound scanning. In 73 % of cases, emergency surgery is needed to treat gangrenous cholecystitis. Early laparoscopic cholecystectomy for acute cholecystitis performed 24—48 hourss after the acute episode will enable the inflammatory process to resolve before the procedure. Open mini-cholecystectomy may be performed more than 48 hours after the acute episode. Early surgery for acute cholecystitis has lower conversion rate than delayed surgery.
acute cholecystitis, treatment, laparoscopic cholecystectomy, open mini-cholecystectomy/
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