Acute suppurative cholecystitis: a retrospective study of 173 cases.

Over a 14-year period we treated 2,290 cases of non-malignant biliary tract conditions, and among them were 173 cases of acute suppurative cholecystitis, an incidence of 7.6%. A correct preoperative diagnosis of acute suppurative cholecystitis was made in only about half the cases because features of recurrent pyogenic cholangitis dominated the clinical picture on many occasions. The diagnosis was confirmed in all cases at operation. Cholecystectomy (88%) was performed whenever this was found to be safe, and cholecystostomy (12%) was carried out only in poor-risk patients or when operative difficulties were encountered. The overall mortality of operation was 5.8%. Old age, preoperative shock, delay of operation and the presence of free perforation affected the prognosis adversely.

[1]  E. Vuori.  Treatment of cholecystitis: cholecystostomy or cholecystectomy? , 1976, American journal of surgery.

[2]  A. Cuschieri,et al.  Controlled clinical trial comparing early with interval cholecystectomy for acute cholecystitis , 1975, The British journal of surgery.

[3]  N. Halasz.  Counterfeit cholecystitis, a common diagnostic dilemma. , 1975, American journal of surgery.

[4]  M. Pheils,et al.  CHOLECYSTOSTOMY FOR ACUTE CHOLECYSTITIS , 1975, The Medical journal of Australia.

[5]  M. Balasegaram,et al.  Treatment of acute cholecystitis by routine urgent operation , 1974, The British journal of surgery.

[6]  J. Jersky,et al.  The management of acute cholecystitis. , 1973, The Surgical clinics of North America.

[7]  A. Nicolaides,et al.  Deep‐Vein Thrombosis in Patients With Fractures of the Femoral Neck , 1972, The British journal of surgery.

[8]  W. van der Linden,et al.  Early versus delayed operation for acute cholecystitis. A controlled clinical trial. , 1970, American journal of surgery.

[9]  H. K. Wright,et al.  The risks of emergency surgery for acute cholecystitis. , 1960, Archives of surgery.