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Surgical treatment of patients with acute cholecystitis: Tokyo Guidelines

Cited 115 time in Web of Science Cited 140 time in Scopus
Authors
Yamashita, Yuichi; Takada, Tadahiro; Kawarada, Yoshifumi; Nimura, Yuji; Hirota, Masahiko; Miura, Fumihiko; Mayumi, Toshihiko; Yoshida, Masahiro; Strasberg, Steven; Pitt, Henry A; de Santibanes, Eduardo; Belghiti, Jacques; Buchler, Markus W; Gouma, Dirk J; Fan, Sheung-Tat; Hilvano, Serafin C; Lau, Joseph W Y; Kim, Sun-Whe; Belli, Giulio; Windsor, John A; Liau, Kui-Hin; Sachakul, Vibul
Issue Date
2007-01-26
Publisher
Springer Verlag
Citation
J Hepatobiliary Pancreat Surg. 2007;14(1):91-7. Epub 2007 Jan 30
Keywords
Bile Ducts/injuries*Cholecystectomy*Cholecystectomy, Laparoscopic/adverse effectsCholecystitis, Acute/*surgeryHumansIntraoperative ComplicationsRandomized Controlled Trials as TopicTokyoTreatment Outcome
Abstract
Cholecystectomy has been widely performed in the treatment of acute cholecystitis, and laparoscopic cholecystectomy has been increasingly adopted as the method of surgery over the past 15 years. Despite the success of laparoscopic cholecystectomy as an elective treatment for symptomatic gallstones, acute cholecystitis was initially considered a contraindication for laparoscopic cholecystectomy. The reasons for it being considered a contraindication were the technical difficulty of performing it in acute cholecystitis and the development of complications, including bile duct injury, bowel injury, and hepatic injury. However, laparoscopic cholecystectomy is now accepted as being safe for acute cholecystitis, when surgeons who are expert at the laparoscopic technique perform it. Laparoscopic cholecystectomy has been found to be superior to open cholecystectomy as a treatment for acute cholecystitis because of a lower incidence of complications, shorter length of postoperative hospital stay, quicker recuperation, and earlier return to work. However, laparoscopic cholecystectomy for acute cholecystitis has not become routine, because the timing and approach to the surgical management in patients with acute cholecystitis is still a matter of controversy. These Guidelines describe the timing of and the optimal surgical treatment of acute cholecystitis in a question-and-answer format.
ISSN
0944-1166 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17252302

http://hdl.handle.net/10371/15913
DOI
https://doi.org/10.1007/s00534-006-1161-x
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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