Misra M C, Khanna S, Khosla A, Berry M, Kapur B M
All India Institute of Medical Sciences, New Delhi.
Jpn J Surg. 1988 Jul;18(4):384-9. doi: 10.1007/BF02471461.
The present study was carried out at the Department of Surgery, All India Institute of Medical Sciences Hospital, New Delhi, between January 1982 and October 1984. Clinical diagnosis of acute cholecystitis was confirmed by ultrasound scanning or Tc99m labelled HIDA Scan. Group I (n=24) comprised patients who underwent emergency cholecystectomy while Group II (n=23) comprised patients who were managed conservatively, and had an elective cholecystectomy performed 6-12 weeks later. There was no mortality or wound infection in either group. The incidence of other complications was 8.3 per cent and 8.6 per cent in Groups I and II, respectively. Emergency cholecystectomy (Group I) reduced the total hospital stay of a patient by approximately 70 per cent and post cholecystectomy syndrome was seen in Group II patients only. We thus recommend emergency or early cholecystectomy during the acute stage of cholecystitis, as it is safe, effective and economical, provided it is done by an experienced surgeon.
本研究于1982年1月至1984年10月在新德里全印度医学科学研究所医院外科进行。急性胆囊炎的临床诊断通过超声扫描或锝99m标记的HIDA扫描得以证实。第一组（n = 24）包括接受急诊胆囊切除术的患者，而第二组（n = 23）包括接受保守治疗的患者，并在6 - 12周后进行择期胆囊切除术。两组均无死亡或伤口感染情况。第一组和第二组其他并发症的发生率分别为8.3%和8.6%。急诊胆囊切除术（第一组）使患者的总住院时间减少了约70%，且仅在第二组患者中出现了胆囊切除术后综合征。因此，我们建议在胆囊炎急性期进行急诊或早期胆囊切除术，因为只要由经验丰富的外科医生进行操作，该手术就是安全、有效且经济的。
