Minimally invasive surgical therapy of acute cholecystitis

作者：Hartwig W^*; Gluth A; Buechler M W

来源：Chirurg, 2013, 84(3): 191-196.

DOI：10.1007/s00104-012-2357-z

• Acute cholecystitis
• Cholecystectomy
• Laparoscopy
• Cholecystolithiasis
• Complications

Acute cholecystitis is the most common complication of cholecystolithiasis. It develops in about 10 % of symptomatic patients and gangrenous cholecystitis, gallbladder perforation, gallbladder empyema, or abscesses are typical complications. Cholecystectomy is the most relevant therapy to achieve pain reduction, to prevent the progression of inflammation or local complications and to minimize the risk of recurrence. Surgical therapy can be supported by medical and interventional treatment modalities depending on the severity of the disease. The present review summarizes the surgical aspects in acute cholecystitis with a focus on laparoscopic cholecystectomy which is the gold standard of therapy.

• 出版日期2013-3