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Cholecystomy for acute choelcystitis

Malmström, Per LU and Olsson, Arne M (1973) In The American Journal of Surgery 126(3). p.397-402
Abstract
During the decade 1957 through 1966, sixty-three cholecystostomies in sixty-two patients were performed in the Surgical Department, University of Lund. Fifty-five of these sixty-two patients were followed up. The mean age was seventy-one years for both sexes. The primary mortality was 20 per cent: a third died of circulatory and respiratory insufficiency; three quarters died of peritonitis, abscess, and renal failure; half of the surviving patients had delayed wound healing. The mean hospital stay for the survivors was nineteen days. During the follow-up period, sixteen later required cholecystectomy, nine electively and seven for a recurrence of acute cholecystitis. Nine had another attack of cholecystitis after cholecystostomy. Another... (More)
During the decade 1957 through 1966, sixty-three cholecystostomies in sixty-two patients were performed in the Surgical Department, University of Lund. Fifty-five of these sixty-two patients were followed up. The mean age was seventy-one years for both sexes. The primary mortality was 20 per cent: a third died of circulatory and respiratory insufficiency; three quarters died of peritonitis, abscess, and renal failure; half of the surviving patients had delayed wound healing. The mean hospital stay for the survivors was nineteen days. During the follow-up period, sixteen later required cholecystectomy, nine electively and seven for a recurrence of acute cholecystitis. Nine had another attack of cholecystitis after cholecystostomy. Another four had continuous symptoms; five more died of the gallbladder disease.
It is concluded that cholecystostomy should be restricted to very ill patients and should be planned and carried out with the patient under local anesthesia. In all other patients, early primary cholecystectomy should be performed with cholangiography performed during the operation. (Less)
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type
Contribution to journal
publication status
published
subject
in
The American Journal of Surgery
volume
126
issue
3
pages
397 - 402
publisher
Elsevier
external identifiers
  • scopus:0015891006
ISSN
1879-1883
DOI
10.1016/S0002-9610(73)80132-1
language
English
LU publication?
yes
id
7eecc497-1728-4775-a742-34fa0aa6633e
date added to LUP
2019-08-29 13:40:07
date last changed
2020-06-14 06:25:35
@article{7eecc497-1728-4775-a742-34fa0aa6633e,
  abstract     = {During the decade 1957 through 1966, sixty-three cholecystostomies in sixty-two patients were performed in the Surgical Department, University of Lund. Fifty-five of these sixty-two patients were followed up. The mean age was seventy-one years for both sexes. The primary mortality was 20 per cent: a third died of circulatory and respiratory insufficiency; three quarters died of peritonitis, abscess, and renal failure; half of the surviving patients had delayed wound healing. The mean hospital stay for the survivors was nineteen days. During the follow-up period, sixteen later required cholecystectomy, nine electively and seven for a recurrence of acute cholecystitis. Nine had another attack of cholecystitis after cholecystostomy. Another four had continuous symptoms; five more died of the gallbladder disease.<br/>It is concluded that cholecystostomy should be restricted to very ill patients and should be planned and carried out with the patient under local anesthesia. In all other patients, early primary cholecystectomy should be performed with cholangiography performed during the operation.},
  author       = {Malmström, Per and Olsson, Arne M},
  issn         = {1879-1883},
  language     = {eng},
  number       = {3},
  pages        = {397--402},
  publisher    = {Elsevier},
  series       = {The American Journal of Surgery},
  title        = {Cholecystomy for acute choelcystitis},
  url          = {http://dx.doi.org/10.1016/S0002-9610(73)80132-1},
  doi          = {10.1016/S0002-9610(73)80132-1},
  volume       = {126},
  year         = {1973},
}