Surgical treatment of patients with acute cholecystitis: Tokyo guidelines

Yuichi Yamashita, Tadahiro Takada, Yoshifumi Kawarada, Yuji Nimura, Masahiko Hirota, Fumihiko Miura, Toshihiko Mayumi, Masahiro Yoshida, Steven Strasberg, Henry A. Pitt, Eduardo de Santibanes, Jacques Belghiti, Markus W. Büchler, Dirk J. Gouma, Sheung Tat Fan, Serafin C. Hilvano, Joseph W.Y. Lau, Sun Whe Kim, Giulio Belli, John A. WindsorKui Hin Liau, Vibul Sachakul

Research output: Contribution to journalArticle

133 Citations (Scopus)

Abstract

Cholecystectomy has been widely performed in the treatment of acute cholecystitis, and laparoscopic cholecystectomy has been increasingly adopted as the method of surgery over the past 15 years. Despite the success of laparoscopic cholecystectomy as an elective treatment for symptomatic gallstones, acute cholecystitis was initially considered a contraindication for laparoscopic cholecystectomy. The reasons for it being considered a contraindication were the technical difficulty of performing it in acute cholecystitis and the development of complications, including bile duct injury, bowel injury, and hepatic injury. However, laparoscopic cholecystectomy is now accepted as being safe for acute cholecystitis, when surgeons who are expert at the laparoscopic technique perform it. Laparoscopic cholecystectomy has been found to be superior to open cholecystectomy as a treatment for acute cholecystitis because of a lower incidence of complications, shorter length of postoperative hospital stay, quicker recuperation, and earlier return to work. However, laparoscopic cholecystectomy for acute cholecystitis has not become routine, because the timing and approach to the surgical management in patients with acute cholecystitis is still a matter of controversy. These Guidelines describe the timing of and the optimal surgical treatment of acute cholecystitis in a question-and-answer format.

Original languageEnglish
Pages (from-to)91-97
Number of pages7
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume14
Issue number1
DOIs
StatePublished - 1 Jan 2007

Fingerprint

Acute Cholecystitis
Tokyo
Laparoscopic Cholecystectomy
Guidelines
Cholecystectomy
Therapeutics
Wounds and Injuries
Return to Work
Gallstones
Bile Ducts
Length of Stay
Liver
Incidence

Keywords

  • Acute cholecystitis
  • Cholecystectomy
  • Cholecystostomy
  • Guidelines
  • Laparoscopic cholecystectomy
  • Open surgery

Cite this

Yamashita, Y., Takada, T., Kawarada, Y., Nimura, Y., Hirota, M., Miura, F., ... Sachakul, V. (2007). Surgical treatment of patients with acute cholecystitis: Tokyo guidelines. Journal of Hepato-Biliary-Pancreatic Surgery, 14(1), 91-97. https://doi.org/10.1007/s00534-006-1161-x
Yamashita, Yuichi ; Takada, Tadahiro ; Kawarada, Yoshifumi ; Nimura, Yuji ; Hirota, Masahiko ; Miura, Fumihiko ; Mayumi, Toshihiko ; Yoshida, Masahiro ; Strasberg, Steven ; Pitt, Henry A. ; de Santibanes, Eduardo ; Belghiti, Jacques ; Büchler, Markus W. ; Gouma, Dirk J. ; Fan, Sheung Tat ; Hilvano, Serafin C. ; Lau, Joseph W.Y. ; Kim, Sun Whe ; Belli, Giulio ; Windsor, John A. ; Liau, Kui Hin ; Sachakul, Vibul. / Surgical treatment of patients with acute cholecystitis : Tokyo guidelines. In: Journal of Hepato-Biliary-Pancreatic Surgery. 2007 ; Vol. 14, No. 1. pp. 91-97.
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Yamashita, Y, Takada, T, Kawarada, Y, Nimura, Y, Hirota, M, Miura, F, Mayumi, T, Yoshida, M, Strasberg, S, Pitt, HA, de Santibanes, E, Belghiti, J, Büchler, MW, Gouma, DJ, Fan, ST, Hilvano, SC, Lau, JWY, Kim, SW, Belli, G, Windsor, JA, Liau, KH & Sachakul, V 2007, 'Surgical treatment of patients with acute cholecystitis: Tokyo guidelines', Journal of Hepato-Biliary-Pancreatic Surgery, vol. 14, no. 1, pp. 91-97. https://doi.org/10.1007/s00534-006-1161-x

Surgical treatment of patients with acute cholecystitis : Tokyo guidelines. / Yamashita, Yuichi; Takada, Tadahiro; Kawarada, Yoshifumi; Nimura, Yuji; Hirota, Masahiko; Miura, Fumihiko; Mayumi, Toshihiko; Yoshida, Masahiro; Strasberg, Steven; Pitt, Henry A.; de Santibanes, Eduardo; Belghiti, Jacques; Büchler, Markus W.; Gouma, Dirk J.; Fan, Sheung Tat; Hilvano, Serafin C.; Lau, Joseph W.Y.; Kim, Sun Whe; Belli, Giulio; Windsor, John A.; Liau, Kui Hin; Sachakul, Vibul.

In: Journal of Hepato-Biliary-Pancreatic Surgery, Vol. 14, No. 1, 01.01.2007, p. 91-97.

Research output: Contribution to journalArticle

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