Botezatu Cristian, Chitca Dumitru Dragos, Popescu Valentin, Nichilo Martina, Lazar Angela Madalina, Mastalier Bogdan
General Surgery Department, Carol Davila University of Medicine and Pharmacy, 8 Eroii Sanitari Blvd., 050474 Bucharest, Romania.
General Surgery Clinic, Colentina Clinical Hospital, 020125 Bucharest, Romania.
Medicina (Kaunas). 2025 Jul 22;61(8):1314. doi: 10.3390/medicina61081314.
The gallbladder pathology is mainly represented by cholelithiasis, treated with cholecystectomy, one of the most commonly performed surgical procedures, continues to raise some challenges. Despite the advancements in surgical techniques, especially in those patients presenting some particularities, such as cirrhotic patients or those with sclero-atrophic or acute gangrenous cholecystitis, difficulties continue to arise. This review, including an evaluation of the literature from the last 20 years, aims to explore the pathophysiological mechanisms and surgical approaches for these high-risk conditions. Emphasis is placed on tailoring management strategies in order to reduce complications and improve outcomes, offering insights for optimizing care in difficult cholecystectomies.
胆囊疾病主要表现为胆结石，通过胆囊切除术进行治疗，这是最常见的外科手术之一，但仍面临一些挑战。尽管手术技术有所进步，特别是在那些有特殊情况的患者中，如肝硬化患者或患有硬化萎缩性或急性坏疽性胆囊炎的患者，但困难依然存在。这篇综述包括对过去20年文献的评估，旨在探讨这些高危情况的病理生理机制和手术方法。重点是制定个性化的管理策略，以减少并发症并改善治疗效果，为优化困难胆囊切除术的护理提供见解。
