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VOLUME 11 , ISSUE 3 ( September-December, 2022 ) > List of Articles

REVIEW ARTICLE

Evidence-based Guidelines for the Management of Acute Cholecystitis

Bryce B Patin, Jacob M Welsch, Christopher S Davis

Keywords : Acute cholecystitis, Cholecystectomy, Evidence-based management, Literature review

Citation Information : Patin BB, Welsch JM, Davis CS. Evidence-based Guidelines for the Management of Acute Cholecystitis. Panam J Trauma Crit Care Emerg Surg 2022; 11 (3):169-175.

DOI: 10.5005/jp-journals-10030-1398

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: This review aims to highlight the current evidence-based guidelines for acute cholecystitis. Background: Laparoscopic cholecystectomy is the procedure of choice for acute cholecystitis. The severity of cholecystitis and the patient's clinical status is heterogeneous. Many guidelines have been established to guide the preoperative and intraoperative management of acute cholecystitis. We provide an up-to-date appraisal of these guidelines and expert consensus recommendations. Review results: Many preoperative considerations exist, including patient health status/risk stratification, the severity of cholecystitis, choice of antibiotics, etiology of cholecystitis, considerations for gravid mothers, and utilization of cholecystostomy tubes. Intraoperative considerations are similarly paramount, including the surgical approach, adjuncts, and grading of the severity of cholecystitis once in the operating room. Clinical significance: The management of acute cholecystitis should never be viewed as routine, particularly regarding the heterogeneity of the patient's clinical status and severity of the disease process. Adherence to up-to-date, evidence-based, and expert consensus practice is critical to optimal outcomes for these patients.

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  1. Dripps RD. New classification of physical status. Anesthesiology 1963;24:111.
  2. Daabiss M. American society of anaesthesiologists physical status classification. Indian J Anaesth 2011;55(2):111–115. DOI: 10.4103/0019-5049.79879
  3. Schuld J, Glanemann M. Acute cholecystitis. Viszeralmedizin 2015;31(3):163–165. DOI: 10.1159/000431275
  4. Charlson ME, Pompei P, Ales KL, et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40(5):373–383. DOI: 10.1016/0021-9681(87)90171-8
  5. Bonaventura A, Leale I, Carbone F, et al. Pre-surgery age-adjusted charlson comorbidity index is associated with worse outcomes in acute cholecystitis. Dig Liver Dis 2019;51(6):858–863. DOI: 10.1016/j.dld.2018.10.002
  6. Bergman S, Sourial N, Vedel I, et al. Gallstone disease in the elderly: are older patients managed differently? Surg Endosc 2011;25(1):55–61. DOI: 10.1007/s00464-010-1128-5
  7. Alvino DM, Fong ZV, McCarthy CJ, et al. Long-term outcomes following percutaneous cholecystostomy tube placement for treatment of acute calculous cholecystitis. J Gastrointest Surg 2017;21(5):761–769. DOI: 10.1007/s11605-017-3375-4
  8. Bilimoria KY, Liu Y, Paruch JL, et al. Development and evaluation of the universal ACS NSQIP surgical risk calculator: a decision aid and informed consent tool for patients and surgeons. J Am Coll Surg 2013;217(5):833–842. DOI: 10.1016/j.jamcollsurg.2013.07.385
  9. Massoumi RL, Trevino CM, Webb TP. Postoperative complications of laparoscopic cholecystectomy for acute cholecystitis: a comparison to the ACS-NSQIP risk calculator and the Tokyo guidelines. World J Surg 2017;41(4):935–939. DOI: 10.1007/s00268-016-3816-3
  10. Pisano M, Allievi N, Gurusamy K, et al. 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World J Emerg Surg 2020;15(1):61. DOI: 10.1186/s13017-020-00336-x
  11. Yokoe M, Hata J, Takada T, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018;25(1):41–54. DOI: 10.1002/jhbp.515
  12. Törnqvist B, Waage A, Zheng Z, et al. Severity of acute cholecystitis and risk of iatrogenic bile duct injury during cholecystectomy, a population-based case–control study. World J Surg 2016;40(5):1060–1067. DOI: 10.1007/s00268-015-3365-1
  13. Vera K, Pei KY, Schuster KM, et al. Validation of a new American association for the surgery of trauma (AAST) anatomic severity grading system for acute cholecystitis. J Trauma Acute Care Surg 2018;84(4):650–654. DOI: 10.1097/TA.0000000000001762
  14. Fuks D, Cossé C, Régimbeau JM. Antibiotic therapy in acute calculous cholecystitis. J Visc Surg 2013;150(1):3–8. DOI: 10.1016/j.jviscsurg.2013.01.004
  15. Strasberg SM. Acute calculous cholecystitis. N Engl J Med 2008;358(26):2804–2811. DOI: 10.1056/NEJMcp0800929
  16. Gurusamy K, Samraj K, Gluud C, et al. Meta-analysis of randomized controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 2010;97(2):141–150. DOI: 10.1002/bjs.6870
  17. Zafar SN, Obirieze A, Adesibikan B, et al. Optimal time for early laparoscopic cholecystectomy for acute cholecystitis. JAMA Surg 2015;150(2):129–136. DOI: 10.1001/jamasurg.2014.2339
  18. Overby DW, Apelgren KN, Richardson W, et al. SAGES guidelines for the clinical application of laparoscopic biliary tract surgery. Surg Endosc 2010;24(10):2368–2386. DOI: 10.1007/s00464-010-1268-7
  19. Brunt LM, Deziel DJ, Telem DA, et al. Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy. Surg Endosc 2020;34(7):2827–2855. DOI: 10.1007/s00464-020-07568-7
  20. Shea JA, Berlin JA, Escarce JJ, et al. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Intern Med 1994;154(22):2573–2581. DOI: 10.1001/archinte.1994.00420220069008
  21. Huffman JL, Schenker S. Acute acalculous cholecystitis: a review. Clin Gastroenterol Hepatol 2010;8(1):15–22. DOI: 10.1016/j.cgh.2009.08.034
  22. Barie PS, Eachempati SR. Acute acalculous cholecystitis. Curr Gastroenterol Rep 2003;5(4):302–309. DOI: 10.1007/s11894-003-0067-x
  23. Owen CC, Jain R. Acute acalculous cholecystitis. Curr Treat Options Gastroenterol 2005;8(2):99–104. DOI: 10.1007/s11938-005-0001-4
  24. Wang AJ, Wang TE, Lin CC, et al. Clinical predictors of severe gallbladder complications in acute acalculous cholecystitis. World J Gastroenterol 2003;9(12):2821–2823. DOI: 10.3748/wjg.v9.i12.2821
  25. Kalliafas S, Ziegler DW, Flancbaum L, et al. Acute acalculous cholecystitis: incidence, risk factors, diagnosis, and outcome. Am Surg 1998;64(5):471–475. PMID: 9585788.
  26. DuPriest RW Jr, Khaneja SC, Cowley RA. Acute cholecystitis complicating trauma. Ann Surg 1979;189(1):84–89. DOI: 10.1097/00000658-197901000-00016
  27. Yang HK, Hodgson WJ. Laparoscopic cholecystostomy for acute acalculous cholecystitis. Surg Endosc 1996;10(6):673–675. DOI: 10.1007/BF00188528
  28. Everson GT. Pregnancy and gallstones. Hepatology 1993;17(1):159–161. DOI: 10.1016/0270-9139(93)90206-3
  29. Maringhini A, Ciambra M, Baccelliere P, et al. Biliary sludge and gallstones in pregnancy: incidence, risk factors, and natural history. Ann Intern Med 1993;119(2):116–120. DOI: 10.7326/0003-4819-119-2-199307150-00004
  30. McKellar DP, Anderson CT, Boynton CJ, et al. Cholecystectomy during pregnancy without fetal loss. Surg Gynecol Obstet 1992;174(6):465–468. PMID: 1595022.
  31. Schwulst SJ, Son M. Management of gallstone disease during pregnancy. JAMA Surg 2020;155(12):1162–1163. DOI: 10.1001/jamasurg.2020.3683
  32. Pearl J, Price R, Richardson W, et al. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg Endosc 2011;25(11):3479–3492. DOI: 10.1007/s00464-011-1927-3
  33. Muench J, Albrink M, Serafini F, et al. Delay in treatment of biliary disease during pregnancy increases morbidity and can be avoided with safe laparoscopic cholecystectomy. Am Surg 2001;67(6):539–542. PMID: 11409801.
  34. Kuy S, Roman SA, Desai R, et al. Outcomes following cholecystectomy in pregnant and nonpregnant women. Surgery 2009;146(2):358–366. DOI: 10.1016/j.surg.2009.03.033
  35. Lai EC, Lau WY. Mirizzi syndrome: history, present and future development. ANZ J Surg 2006;76(4):251–257. DOI: 10.1111/j.1445-2197.2006.03690.x
  36. Mishra MC, Vashishtha S, Tandon R. Biliobiliary fistula: preoperative diagnosis and management implications. Surgery 1990;108(5):835–839. DOI: 10.5555/uri:pii:003960609090278A
  37. Becker CD, Hassler H, Terrier F. Preoperative diagnosis of the Mirizzi syndrome: limitations of sonography and computed tomography. AJR Am J Roentgenol 1984;143(3):591–596. DOI: 10.2214/ajr.143.3.591
  38. Binmoeller KF, Thonke F, Soehendra N. Endoscopic treatment of Mirizzi's syndrome. Gastrointest Endosc 1993;39(4):532–536. DOI: 10.1016/s0016-5107(93)70165-0
  39. Ibrarullah M, Mishra T, Das AP. Mirizzi syndrome. Indian J Surg 2008;70(6):281–287. DOI: 10.1007/s12262-008-0084-y
  40. Yip AW, Chow WC, Chan J, et al. Mirizzi syndrome with cholecystocholedochal fistula: preoperative diagnosis and management. Surgery 1992;111(3):335–338. PMID: 1542859.
  41. Erben Y, Benavente-Chenhalls LA, Donohue JM, et al. Diagnosis and treatment of Mirizzi syndrome: 23-year mayo clinic experience. J Am Coll Surg 2011;213(1):114–119. DOI: 10.1016/j.jamcollsurg.2011.03.008
  42. Smith TJ, Manske JG, Mathiason MA, et al. Changing trends and outcomes in the use of percutaneous cholecystostomy tubes for acute cholecystitis. Ann Surg 2013;257(6):1112–1115. DOI: 10.1097/SLA.0b013e318274779c
  43. Loozen CS, van Santvoort HC, van Duijvendijk P, et al. Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomized clinical trial. BMJ 2018;363:k3965. DOI: 10.1136/bmj.k3965
  44. Barak O, Elazary R, Appelbaum L, et al. Conservative treatment for acute cholecystitis: clinical and radiographic predictors of failure. Isr Med Assoc J 2009;11(12):739–743. PMID: 20166341.
  45. Kirkegård J, Horn T, Christensen SD, et al. Percutaneous cholecystostomy is an effective definitive treatment option for acute acalculous cholecystitis. Scand J Surg 2015;104(4):238–243. DOI: 10.1177/1457496914564107
  46. Philip Rothman J, Burcharth J, Pommergaard HC, et al. Preoperative risk factors for conversion of laparoscopic cholecystectomy to open surgery-a systematic review and meta-analysis of observational studies. Dig Surg 2016;33(5):414–423. DOI: 10.1159/000445505
  47. Mclean TR. Monetary lessons from litigation involving laparoscopic cholecystectomy. Am Surg 2005;71(7):606–612. DOI: 10.1177/000313480507100714
  48. Halbert C, Pagkratis S, Yang J, et al. Beyond the learning curve: incidence of bile duct injuries following laparoscopic cholecystectomy normalize to open in the modern era. Surg Endosc 2016;30(6):2239–2243. DOI: 10.1007/s00464-015-4485-2
  49. Arezzo A, Passera R, Forcignanò E, et al. Single-incision laparoscopic cholecystectomy is responsible for increased adverse events: results of a meta-analysis of randomized controlled trials. Surg Endosc 2018;32(9):3739–3753. DOI: 10.1007/s00464-018-6143-y
  50. Elshaer M, Gravante G, Thomas K, et al. Subtotal cholecystectomy for ”difficult gallbladders”: systematic review and meta-analysis. JAMA Surg 2015;150(2):159–168. DOI: 10.1001/jamasurg.2014.1219
  51. Wakabayashi G, Iwashita Y, Hibi T, et al. Tokyo Guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018;25(1):73–86. DOI: 10.1002/jhbp.517
  52. Strasberg SM, Gouma DJ. ’Extreme’ vasculobiliary injuries: association with fundus-down cholecystectomy in severely inflamed gallbladders. HPB (Oxford) 2012;14(1):1–8. DOI: 10.1111/j.1477-2574.2011.00393.x
  53. Honda G, Hasegawa H, Umezawa A. Universal safe procedure of laparoscopic cholecystectomy standardized by exposing the inner layer of the subserosal layer (with video). J Hepatobiliary Pancreat Sci 2016;23(9):E14–E19. DOI: 10.1002/jhbp.382
  54. Koc B, Karahan S, Adas G, et al. Comparison of laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for choledocholithiasis: a prospective randomized study. Am J Surg 2013;206(4):457–463. DOI: 10.1016/j.amjsurg.2013.02.004
  55. Winbladh A, Gullstrand P, Svanvik J, et al. Systematic review of cholecystostomy as a treatment option in acute cholecystitis. HPB (Oxford) 2009;11(3):183–193. DOI: 10.1111/j.1477-2574.2009.00052.x
  56. Madni TD, Leshikar DE, Minshall CT, et al. The Parkland grading scale for cholecystitis. Am J Surg 2018;215(4):625–630. DOI: 10.1016/j.amjsurg.2017.05.017
  57. Lee W, Jang JY, Cho JK, et al. Does surgical difficulty relate to severity of acute cholecystitis? Validation of the Parkland grading scale based on intraoperative findings. Am J Surg 2020;219(4):637–641. DOI: 10.1016/j.amjsurg.2018.12.005
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