Diagnosis and treatment of acute calculus cholecystitis: WSES 2020 Guideline
Written By : Medha Baranwal
Medically Reviewed By : Dr. Kamal Kant Kohli
Published On 2021-01-11 13:59 GMT | Update On 2021-01-12 07:21 GMT
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Surgical Treatment of ACC
- Laparoscopic cholecystectomy is recommended as the first-line treatment for patients with ACC.
- Avoiding laparoscopic cholecystectomy is recommended in case of septic shock or absolute anaesthesiology contraindications.
- Laparoscopic cholecystectomy should be performed for ACC patients with Child’s A and B cirrhosis, patients with advanced age (including more than 80 years old) and patients who are pregnant.
- Laparoscopic or open subtotal cholecystectomy is recommended in situations in which anatomic identification is difficult and in which the risk of iatrogenic injuries is high.
- Conversion from laparoscopic to open cholecystectomy is recommended in case of severe local inflammation, adhesions, bleeding from the Calot’s triangle or suspected bile duct injury.
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