Aim: to describe the management of acute calculous cholecystitis in a tertiary teaching hospital and the outcomes obtained.
Material And Methods: a retrospective single tertiary center cohort study.
Results: medical records of 487 patients were analyzed. The mean follow-up was 44.5 ± 17.0 months. Treatment alternatives were cholecystectomy (64.3%), conservative treatment (23.0%), endoscopic retrograde cholangiopancreatography (17.4%), percutaneous cholecystostomy (10.7%) and endoscopic ultrasound-guided gallbladder drainage (0.8%). Most cholecystectomies were delayed (88.8%). Recurrences occurred in 38.2% of patients. Although cholecystectomy was the therapeutic approach with the lowest recurrence rate once performed, 44.6% of patients that underwent delayed surgery had pre-surgical recurrences.
Conclusions: delayed cholecystectomy is still commonly performed, even though it is related with a high frequency of preoperative recurrences.
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| http://dx.doi.org/10.17235/reed.2019.6260/2019 | DOI Listing |
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