Acute Cholecystitis: The Question of Early or Late Operation

Abstract

During the five‐year period from 1963 to 1968 there were 327 elective cholecystectomies, and 128 cholecystectomies carried out during an attack of acute cholecystitis. The patients in the acute group were significantly older than those in the elective group. The operative mortality was 1.2% in the elective group and 1.6% in the acute group. The only significant difference in the incidence of complications was that temporary biliary fistula which occurred only in the acute group.

Diagnosis ofacute cholecystitis using ultrasonography

“…All the hepatic cells continually for a small amount of secretion called bile [6] . The presence of bile salt and proteins is responsible for the observation of gallbladder bile is isotonic to plasma [7] , gallstones are the commonest biliary pathology [8] .Modern ultrasound (US) examination of the gall bladder is an effective tool in the diagnosis of acute cholecystitis (AC), especially when used on patients admitted for emergency surgery [9][10][11][12] . Cholescintigraphy (CS) and US are the first diagnostic imaging modalities that should be used [13,14] .…”