The need for new "patient-related" guidelines for the treatment of acute cholecystitis

被引:28
作者
Campanile, Fabio C. [1 ]
Catena, Fausto [2 ]
Coccolini, Federico [3 ]
Lotti, Marco [3 ]
Piazzalunga, Dario [3 ]
Pisano, Michele [3 ]
Ansaloni, Luca [3 ]
机构
[1] ASL VT San Giovanni Decollato Andosilla Hosp, Dept Surg, I-01033 Civita Castellana, Italy
[2] St Orsola Malpighi Hosp, Dept Gen & Transplant Surg, Bologna, Italy
[3] Osped Riuniti Bergamo, Dept Gen & Emergency Surg, I-24100 Bergamo, Italy
关键词
TOKYO GUIDELINES; LAPAROSCOPIC CHOLECYSTECTOMY; ACUTE CHOLANGITIS; MANAGEMENT; CHOLECYSTOSTOMY; METAANALYSIS; DIAGNOSIS;
D O I
10.1186/1749-7922-6-44
中图分类号
R4 [临床医学];
学科分类号
100218 [急诊医学];
摘要
Heterogeneity of patients affected by acute cholecystitis, and their co-morbidities make very difficult to standardize the therapy for this very common condition. The staging system suggested in the recent "Tokyo guidelines", did not show a relevant impact on the management of patients and on the outcome of the disease. The relation among local pathological picture, patient clinical status and treatment algorithm, has to be better studied.
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页数:3
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