Treatment of Uncomplicated Acute Calculous Cholecystitis in Patients Suitable for Surgery
This protocol addresses uncomplicated acute calculous cholecystitis (ACC) in patients who are both eligible for and willing to undergo surgery. Timely, appropriately sequenced surgical management is central to this clinical scenario.
The setting is uncomplicated ACC where no contraindications to surgery exist and the patient consents to a surgical approach. Laparoscopic cholecystectomy is the established first-line treatment in this population, with the timing of the procedure representing the key clinical decision point.
Approach Overview
Management involves a laparoscopic surgical approach, with procedure timing guided by the clinical course and specific presentation circumstances. The full sequencing, timing criteria, and decision algorithm are detailed in the complete protocol →
References
DOI: 10.1186/s13017-020-00336-x
- In uncomplicated ACC, we recommend against the routine use of postoperative antibiotics when the focus of infection is controlled by cholecystectomy.
- We recommend laparoscopic cholecystectomy as the first-line treatment for patients with ACC.
- We suggest DLC to be performed beyond 6 weeks from the first clinical presentation, in case ELC cannot be performed (within 7 days of hospital admission and within 10 days of onset of symptoms).
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