Gallstone surgery with acute cholecystitis grasp the opportunity

55-year-old Miss Liu suddenly appeared right upper abdominal cramps, nausea, vomiting, fever and other symptoms, diagnosis of gallstones with acute cholecystitis, and its emergency done a laparoscopic cholecystectomy, the patients recovered very soon. Generally speaking, the gallstone with acute cholecystitis, surgeons use laparoscopic surgery advocate general approach to treatment. Because such patients can in a shorter period of rehabilitation and pain less. Within 24 hours is the best time What the appropriate time operation » In principle, of acute cholecystitis, the sooner the better operation, the latest not more than 48 hours after onset. Use of laparoscopic surgery, within 24 hours of surgery is the best opportunity, at this time because of the pathological changes of cholecystitis mainly to edema, the local organ of the anatomical relations are clear, easy operation in the gallbladder from the liver to the gallbladder bed surface separation Out of the gallbladder and gallbladder can be the vessel to do the exact ligation, surgery has a high safety and good prognosis. Acute cholecystitis of 24 to 48 hours, gallbladder congestive heavier, more bleeding in the operation, will affect the operation if more than 48 hours, lesser symptoms also hope that the endoscopic surgery, symptoms such as poor control, a considerable number of patients need The implementation of open surgery. Do not waste the best time for surgery Many patients with acute cholecystitis often can not immediately accept the surgery, is more than a few days before the conservative treatment, the symptoms do not ease when they think of surgery, and this has adversely affected precisely the best time for endoscopic surgery. Because of gallstones in patients with acute cholecystitis relatively rapid evolution of disease, the general incidence after three to seven days, gallbladder and the organization can be formed around a wide range of inflammatory adhesion, even in the gallbladder area abscess, local anatomical structure will become Blurred. Therefore, at this time forcibly removed the gallbladder, it is likely to cause bleeding, bile duct injury or other serious complications, and even threaten the patient's life. Some patients through drug treatment, even if the inflammation will be temporarily dissipated, but it is difficult to avoid another attack of acute cholecystitis. If cholecystitis of repeated attacks, coupled with stones chronic stimulation to induce cancer in the gallbladder. Gallstone patients with acute cholecystitis, if the incidence has more than 48 hours, missed the best time for surgery, but they are not willing to open surgery, can carry out a conservative anti-inflammatory treatment. To be two to three months of basic cholecystitis dissipated, the physical conditions permit, and then laparoscopic surgery.