title: [Acute cholecystitis--surgical therapy].
abstract: Acute cholecystitis as a rule requires operative treatment. When it occurs as a complication of gall stone disease, early cholecystectomy within two to three days has been accepted as a safe procedure. If possible, the laparoscopic approach should be preferred. In cases of technical difficulties conventional open cholecystectomy should be planned as a primary approach or be performed by conversion of the laparoscopic approach. Cholecystostomy performed as an interventional procedure is indicated in high-risk patients due to comorbidity only. For acalculous cholecystitis, however, this approach is regarded as the initial procedure of first choice.
authors.affiliation: Abteilung Allgemeine Chirurgie mit Poliklinik, Chirurgische Universitätsklinik Freiburg.
authors.forename: E H
authors.initials: EH
authors.lastname: Farthmann
authors.forename: J
authors.initials: J
authors.lastname: Rädecke
mesh_terms: D000208:Acute Disease; D002763:Cholecystectomy / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic; D002764:Cholecystitis / Q000209:etiology / Q000601:surgery*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D006801:Humans
vernacular_title: Akute Cholezystitis--operative Therapie.