ASPETTI ISTOPATOLOGICI DELLA COLECISTITE ACUTA

UN'ULTERIORE MOTIVAZIONE PER LA COLECISTECTOMIA PRECOCE

Translated title of the contribution: Histopathological aspects of acute cholecystitis: A further indication for early cholecystectomy

M. Sianesi, P. Tarasconi, F. Cetta, A. M. Farinon, E. Zanella

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

In order to define correlations between histopathologic findings and timing of surgical treatment in 628 patients who underwent cholecystectomy for acute cholecystitis, a retrospective, from 1970 to 1977, and then prospective, from 1977 to 1990, analysis has been carried out. The results seem to suggest that early cholecystectomy, i.e. performed within 24-48 hours from disease onset, may represent the treatment of choice. To this timely measure should be attributed the favourable course of the disease; the evolution toward chronicity of the acute lesions most frequently encountered (acute suppurative, necrotic and purulent or hemorrhagic) resulting unlikely. On the other hand, perforation is particularly frequent among patients with acute cholecystitis submitted to delayed surgery, during the same admission (4.1%) or subsequently (4.2%), as well as among those who underwent emergency surgery for failure of the medical treatment (32.3%). Finally, advantages of early cholecystectomy are pointed out: easier surgical approach, lower postoperative morbility and mortality rate, shorter hospital stay.

Original languageItalian
Pages (from-to)242-246
Number of pages5
JournalChirurgia
Volume5
Issue number5
Publication statusPublished - 1992

Fingerprint

Acute Cholecystitis
Cholecystectomy
Treatment Failure
Length of Stay
Emergencies
Mortality
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Sianesi, M., Tarasconi, P., Cetta, F., Farinon, A. M., & Zanella, E. (1992). ASPETTI ISTOPATOLOGICI DELLA COLECISTITE ACUTA: UN'ULTERIORE MOTIVAZIONE PER LA COLECISTECTOMIA PRECOCE. Chirurgia, 5(5), 242-246.

ASPETTI ISTOPATOLOGICI DELLA COLECISTITE ACUTA : UN'ULTERIORE MOTIVAZIONE PER LA COLECISTECTOMIA PRECOCE. / Sianesi, M.; Tarasconi, P.; Cetta, F.; Farinon, A. M.; Zanella, E.

In: Chirurgia, Vol. 5, No. 5, 1992, p. 242-246.

Research output: Contribution to journalArticle

Sianesi, M, Tarasconi, P, Cetta, F, Farinon, AM & Zanella, E 1992, 'ASPETTI ISTOPATOLOGICI DELLA COLECISTITE ACUTA: UN'ULTERIORE MOTIVAZIONE PER LA COLECISTECTOMIA PRECOCE', Chirurgia, vol. 5, no. 5, pp. 242-246.
Sianesi M, Tarasconi P, Cetta F, Farinon AM, Zanella E. ASPETTI ISTOPATOLOGICI DELLA COLECISTITE ACUTA: UN'ULTERIORE MOTIVAZIONE PER LA COLECISTECTOMIA PRECOCE. Chirurgia. 1992;5(5):242-246.
Sianesi, M. ; Tarasconi, P. ; Cetta, F. ; Farinon, A. M. ; Zanella, E. / ASPETTI ISTOPATOLOGICI DELLA COLECISTITE ACUTA : UN'ULTERIORE MOTIVAZIONE PER LA COLECISTECTOMIA PRECOCE. In: Chirurgia. 1992 ; Vol. 5, No. 5. pp. 242-246.
@article{c9e7bc75a0914b29921fdd89d739a86f,
title = "ASPETTI ISTOPATOLOGICI DELLA COLECISTITE ACUTA: UN'ULTERIORE MOTIVAZIONE PER LA COLECISTECTOMIA PRECOCE",
abstract = "In order to define correlations between histopathologic findings and timing of surgical treatment in 628 patients who underwent cholecystectomy for acute cholecystitis, a retrospective, from 1970 to 1977, and then prospective, from 1977 to 1990, analysis has been carried out. The results seem to suggest that early cholecystectomy, i.e. performed within 24-48 hours from disease onset, may represent the treatment of choice. To this timely measure should be attributed the favourable course of the disease; the evolution toward chronicity of the acute lesions most frequently encountered (acute suppurative, necrotic and purulent or hemorrhagic) resulting unlikely. On the other hand, perforation is particularly frequent among patients with acute cholecystitis submitted to delayed surgery, during the same admission (4.1{\%}) or subsequently (4.2{\%}), as well as among those who underwent emergency surgery for failure of the medical treatment (32.3{\%}). Finally, advantages of early cholecystectomy are pointed out: easier surgical approach, lower postoperative morbility and mortality rate, shorter hospital stay.",
author = "M. Sianesi and P. Tarasconi and F. Cetta and Farinon, {A. M.} and E. Zanella",
year = "1992",
language = "Italian",
volume = "5",
pages = "242--246",
journal = "Chirurgia (Turin)",
issn = "0394-9508",
publisher = "Minerva Medica",
number = "5",

}

TY - JOUR

T1 - ASPETTI ISTOPATOLOGICI DELLA COLECISTITE ACUTA

T2 - UN'ULTERIORE MOTIVAZIONE PER LA COLECISTECTOMIA PRECOCE

AU - Sianesi, M.

AU - Tarasconi, P.

AU - Cetta, F.

AU - Farinon, A. M.

AU - Zanella, E.

PY - 1992

Y1 - 1992

N2 - In order to define correlations between histopathologic findings and timing of surgical treatment in 628 patients who underwent cholecystectomy for acute cholecystitis, a retrospective, from 1970 to 1977, and then prospective, from 1977 to 1990, analysis has been carried out. The results seem to suggest that early cholecystectomy, i.e. performed within 24-48 hours from disease onset, may represent the treatment of choice. To this timely measure should be attributed the favourable course of the disease; the evolution toward chronicity of the acute lesions most frequently encountered (acute suppurative, necrotic and purulent or hemorrhagic) resulting unlikely. On the other hand, perforation is particularly frequent among patients with acute cholecystitis submitted to delayed surgery, during the same admission (4.1%) or subsequently (4.2%), as well as among those who underwent emergency surgery for failure of the medical treatment (32.3%). Finally, advantages of early cholecystectomy are pointed out: easier surgical approach, lower postoperative morbility and mortality rate, shorter hospital stay.

AB - In order to define correlations between histopathologic findings and timing of surgical treatment in 628 patients who underwent cholecystectomy for acute cholecystitis, a retrospective, from 1970 to 1977, and then prospective, from 1977 to 1990, analysis has been carried out. The results seem to suggest that early cholecystectomy, i.e. performed within 24-48 hours from disease onset, may represent the treatment of choice. To this timely measure should be attributed the favourable course of the disease; the evolution toward chronicity of the acute lesions most frequently encountered (acute suppurative, necrotic and purulent or hemorrhagic) resulting unlikely. On the other hand, perforation is particularly frequent among patients with acute cholecystitis submitted to delayed surgery, during the same admission (4.1%) or subsequently (4.2%), as well as among those who underwent emergency surgery for failure of the medical treatment (32.3%). Finally, advantages of early cholecystectomy are pointed out: easier surgical approach, lower postoperative morbility and mortality rate, shorter hospital stay.

UR - http://www.scopus.com/inward/record.url?scp=0026629646&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026629646&partnerID=8YFLogxK

M3 - Articolo

VL - 5

SP - 242

EP - 246

JO - Chirurgia (Turin)

JF - Chirurgia (Turin)

SN - 0394-9508

IS - 5

ER -