Callender Karla
Department of Surgery, Queen Elizabeth Hospital, Martindale's Road, Bridgetown, St. Michael, Barbados.
Int J Surg Case Rep. 2024 Jul;120:109900. doi: 10.1016/j.ijscr.2024.109900. Epub 2024 Jun 13.
• Timing of cholecystectomy is still a controversial area in acute cholecystitis management. • Evidence supports early over delayed laparoscopic cholecystectomy due to more favourable outcomes. • Severity of acute cholecystitis must be considered as it influences timing. • The Tokyo Guidelines (2018) are the most widely accepted diagnostic and severity scoring system for acute cholecystitis.
• 在急性胆囊炎的治疗中,胆囊切除术的时机仍是一个有争议的领域。
• 有证据表明,早期进行腹腔镜胆囊切除术比延迟手术效果更好。
• 必须考虑急性胆囊炎的严重程度,因为它会影响手术时机。
• 《东京指南(2018)》是目前最广泛接受的急性胆囊炎诊断和严重程度评分系统。