Acute calculus , 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.
2016 WSES guidelines on acute calculous cholecystitis / 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. Koka, 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. - In: WORLD JOURNAL OF EMERGENCY SURGERY. - ISSN 1749-7922. - 11:1(2016), pp. 25.1-25.23.
|Titolo:||2016 WSES guidelines on acute calculous cholecystitis|
SILVA ANSALONI, LILIAN MARCIA (Corresponding)
CHIARA, OSVALDO (Corresponding)
|Parole Chiave:||Acute calcolous cholecystitis; Diagnosis; Cholecystectomy; Biliary tree stones; Surgical risk; Gallbladder percutaneous drainage; Endoscopic ultrasound; Magnetic resonance; Antibiotic; Abdominal infections|
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
|Data di pubblicazione:||2016|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1186/s13017-016-0082-5|
|Appare nelle tipologie:||01 - Articolo su periodico|