Rrupa Djana, Robert-Dubois Margaux, Uldry Emilie, Demartines Nicolas, Halkic Nermin, Godat Sébastien, Melloul Emmanuel
Service de chirurgie viscérale, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Service de gastro-entérologie, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Rev Med Suisse. 2023 Jun 14;19(831):1175-1179. doi: 10.53738/REVMED.2023.19.831.1175.
Acute cholecystitis is an inflammation of the gallbladder most often related to gallstones. The diagnostic and severity criteria are well described by the Tokyo criteria. Early laparoscopic cholecystectomy remains the treatment of choice. It can also be performed in elderly patients and in pregnant women during any trimester. For patients not eligible for surgery, percutaneous or echo-endoscopic gallbladder drainage (EUS-GBD) are effective treatment alternatives. The management of acute cholecystitis must therefore be adapted to each patient by carefully evaluating the risks and benefits associated with surgery.
急性胆囊炎是一种最常与胆结石相关的胆囊炎症。东京标准对其诊断和严重程度标准有详尽描述。早期腹腔镜胆囊切除术仍是首选治疗方法。该手术也可在老年患者以及孕期任何阶段的孕妇中进行。对于不符合手术条件的患者，经皮或超声内镜下胆囊引流术（EUS-GBD）是有效的替代治疗方法。因此，必须通过仔细评估与手术相关的风险和益处，使急性胆囊炎的管理适合每位患者。
