World J Emerg Surg. 2011 Dec 22;6(1):44.

The need for new "patient-related" guidelines for the treatment of acute cholecystitis.

Campanile FC, Catena F, Coccolini F, Lotti M, Piazzalunga D, Pisano M, Ansaloni L.

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Department of Surgery, ASL VT-San Giovanni Decollato-Andosilla Hospital, via Ferretti 169 Civita Castellana 01033, Italy. campanile@surgical.net.

Abstract

ABSTRACT: Heterogeneity of patients affected by acute cholecystitis, and their co-morbidities make very difficult to standardize the therapy for this very common condition. The staging system suggested in the recent "Tokyo guidelines", did not show a relevant impact on the management of patients and on the outcome of the disease. The relation among local pathological picture, patient clinical status and treatment algorithm, has to be better studied.

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