Diagnosis and Treatment of Acute Acalculous Cholecystitis： Analysis of 79 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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LI Min , CHENG Nansheng , PENG Qifang , XIONG Xianze.

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Acute acalculous cholecystitis Diagnosis Treatment

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【Abstract】Objective To analysis the clinical characteristics, pathogenesis, diagnosis and treatment of acute acalculous cholecystitis.
Methods Seventy-nine cases of acute acalculous cholecystitis from January 1996 to January 2003 were retrospectively reviewed.
Results Of those 79 cases, 13 cases were treated nonoperatively and 66 cases were treated operatively. Twentythree cases were suppurative, 43 cases were gangrenous with perforation in 18 cases，which were proved by postoperative pathology. Seventysix cases were cured and 3 cases were dead.
Conclusion Keeping vigilant alert, observing dynamically as well as appropriate operative intervention are effective to improve the prognosis of acute acalculous cholecystitis.

Citation： LI Min,CHENG Nansheng,PENG Qifang,XIONG Xianze.. Diagnosis and Treatment of Acute Acalculous Cholecystitis： Analysis of 79 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(5): 499-501. doi: Copy

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5.	Kalliafas S, Ziegler DW, Flancbaum L, et al. Acute acalculous cholecystitis: incidence, risk factors, diagnosis, and outcome [J]. Am Surg, 1998; 64(5)∶471.
6.	Barie PS, Fischer E, Eachempati, et al. Acute acalculous cholecystitis [J]. Current Opinion in Critical Care,1999; 5(2)∶144.
7.	Taoka H. Experimental study on the pathogenesis of acute acalculous cholecystitis, with special reference to the roles of microcirculatory disturbances, free radicals and membranebound phospholipase A2 [J]. Gastroenterol Jpn, 1991; 26(5)∶633.
8.	Puc MM, Tran HS, Wry PW, et al. Ultrasound is not a useful screening tool for acute acalculous cholecystitis in critically ill trauma patients [J]. Am Surg, 2002; 68(1)∶65.
9.	Brandt CP, Priebe PP, Jacobs DG. Value of laparoscopy in trauma ICU patients with suspected acute acalculous cholecystitis [J]. Surg Endosc, 1994; 8(5)∶361.
10.	McClain T, Gilmore BT, Peetz M. Laparoscopic cholecystectomy in the treatment of acalculus cholecystitis in patients after thermal injury [J]. J Burn Care Rehabil, 1997; 18(2)∶141.
11.	Browning PD, McGahan JP, Gerscovich EO. Percutaneous cholecystostomy for suspected acute cholecystitis in the hospitalized patient [J]. J Vasc Interv Radiol, 1993; 4(4)∶531.

1. 黄志强. 急性非结石性胆囊炎 [A].见：黄志强著. 黄志强胆道外科 [M]. 第1版.济南：山东科学技术出版社, 1999∶355～358.
2. Mirvis SE, Vainright JR, Nelson AW, et al. The diagnosis of acute acalculous cholecystitis: a comparison of sonography, scintigraphy, and CT [J]. AJR Am J Roentgenol, 1986; 147(6)∶1171.
3. Johnson LB. The importance of early diagnosis of acute acalculus cholecystitis [J]. Surg Gynecol Obstet, 1987; 164(3)∶197.
4. Johanning JM, Gruenberg JC. The changing face of cholecystectomy [J]. Am Surg, 1998; 64(7)∶643.
5. Kalliafas S, Ziegler DW, Flancbaum L, et al. Acute acalculous cholecystitis: incidence, risk factors, diagnosis, and outcome [J]. Am Surg, 1998; 64(5)∶471.
6. Barie PS, Fischer E, Eachempati, et al. Acute acalculous cholecystitis [J]. Current Opinion in Critical Care,1999; 5(2)∶144.
7. Taoka H. Experimental study on the pathogenesis of acute acalculous cholecystitis, with special reference to the roles of microcirculatory disturbances, free radicals and membranebound phospholipase A2 [J]. Gastroenterol Jpn, 1991; 26(5)∶633.
8. Puc MM, Tran HS, Wry PW, et al. Ultrasound is not a useful screening tool for acute acalculous cholecystitis in critically ill trauma patients [J]. Am Surg, 2002; 68(1)∶65.
9. Brandt CP, Priebe PP, Jacobs DG. Value of laparoscopy in trauma ICU patients with suspected acute acalculous cholecystitis [J]. Surg Endosc, 1994; 8(5)∶361.
10. McClain T, Gilmore BT, Peetz M. Laparoscopic cholecystectomy in the treatment of acalculus cholecystitis in patients after thermal injury [J]. J Burn Care Rehabil, 1997; 18(2)∶141.
11. Browning PD, McGahan JP, Gerscovich EO. Percutaneous cholecystostomy for suspected acute cholecystitis in the hospitalized patient [J]. J Vasc Interv Radiol, 1993; 4(4)∶531.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Acute Acalculous Cholecystitis： Analysis of 79 Cases

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