致编辑的信 主题：“双叶胆囊？一例具有挑战性的腹腔镜胆囊切除术”
Letter to the Editor RE: "A bifid gallbladder? A challenging laparoscopic cholecystectomy".
作者信息
Callender Karla
机构信息
Department of Surgery, Queen Elizabeth Hospital, Martindale's Road, Bridgetown, St. Michael, Barbados.
出版信息
Int J Surg Case Rep. 2024 Jul;120:109900. doi: 10.1016/j.ijscr.2024.109900. Epub 2024 Jun 13.
Abstract
• 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.
摘要
• 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。
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本文引用的文献
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A bifid gallbladder? A challenging laparoscopic cholecystectomy.双叶胆囊？一例具有挑战性的腹腔镜胆囊切除术。
Int J Surg Case Rep. 2024 Jul;120:109760. doi: 10.1016/j.ijscr.2024.109760. Epub 2024 May 17.
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Open conversion in laparoscopic cholecystectomy and bile duct exploration: subspecialisation safely reduces the conversion rates.腹腔镜胆囊切除术和胆管探查术中的中转开放：亚专科化可安全降低中转率。
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Advances in the management of acute cholecystitis.急性胆囊炎管理的进展
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Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos).东京指南 2018：急性胆囊炎的诊断标准与严重程度分级（附视频）。
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The difficult gall bladder: Outcomes following laparoscopic cholecystectomy and the need for open conversion.困难胆囊：腹腔镜胆囊切除术后的结果及中转开腹的必要性。
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