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2016 ; 11
(ä): 25
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2016 WSES guidelines on acute calculous cholecystitis
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Ansaloni L
; Pisano M
; Coccolini F
; Peitzmann AB
; Fingerhut A
; Catena F
; Agresta F
; Allegri A
; Bailey I
; Balogh ZJ
; Bendinelli C
; Biffl W
; Bonavina L
; Borzellino G
; Brunetti F
; Burlew CC
; Camapanelli G
; Campanile FC
; Ceresoli M
; Chiara O
; Civil I
; Coimbra R
; De Moya M
; Di Saverio S
; Fraga GP
; Gupta S
; Kashuk J
; Kelly MD
; Koka V
; Jeekel H
; Latifi R
; Leppaniemi A
; Maier RV
; Marzi I
; Moore F
; Piazzalunga D
; Sakakushev B
; Sartelli M
; Scalea T
; Stahel PF
; Taviloglu K
; Tugnoli G
; Uraneus S
; Velmahos GC
; Wani I
; Weber DG
; Viale P
; Sugrue M
; Ivatury R
; Kluger Y
; Gurusamy KS
; Moore EE
World J Emerg Surg
2016[]; 11
(ä): 25
PMID27307785
show ga
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.