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Current Management of Acute Calculous Cholecystitis

  • Emergency General Surgery (J Diaz, Section Editor)
  • Published:
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Abstract

Purposeof Review

Provide a comprehensive review of the latest reports on management of acute calculous cholecystitis and our current practices

Recent Findings

The diagnosis of acute calculous cholecystitis (ACC) should be driven by a combination of clinical, laboratory, and imaging findings. The use of grading scales to classify the severity of ACC has successfully predicted the morbidity of surgical management of this disease. Surgical management has shifted from open cholecystectomy or delayed laparoscopic cholecystectomy to early laparoscopic cholecystectomy. If the critical view of safety (CVS) cannot safely be obtained, a change in surgical strategy with either conversion to open or a subtotal laparoscopic cholecystectomy should be considered. For patients that are not surgical candidates, treatment includes antibiotics and biliary drainage with percutaneous cholecystostomy tube.

Summary

Early laparoscopic cholecystectomy is the gold standard for the treatment of ACC. The use of grading scales to guide operative management should be employed.

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References

Recently published papers of particular interest have been highlighted as: • Of importance •• Of major importance

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  1. Division of General and Acute Care Surgery, Department of Surgery, UT Southwestern Medical Center, 5323 Harry Hines Blvd, E5514, Dallas, TX, 75390-9158, USA

    Kali M. Kuhlenschmidt, Luis R. Taveras & Michael W. Cripps

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  1. Kali M. Kuhlenschmidt
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  3. Michael W. Cripps
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Correspondence to Michael W. Cripps.

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Kuhlenschmidt, K.M., Taveras, L.R. & Cripps, M.W. Current Management of Acute Calculous Cholecystitis. Curr Surg Rep 9, 4 (2021). https://doi.org/10.1007/s40137-020-00282-2

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