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C. ALLEN WALL, M.D.; ROBERT M. WEISS, M.D.

AMA Arch Surg. 1958;77(3):433-438.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

It is well established that the ideal method of management for acute cholecystitis is removal of the diseased gallbladder. However, controversy still exists as to the best time for operation and the extent of the operative procedure during the phase of acute inflammation.

The controversy may be brought into focus by certain questions. First, is there an optimum period of time that should elapse from the onset of symptoms of acute cholecystitis to removal of the diseased gallbladder? This is to say, when during the acute phase may cholecystectomy be accomplished efficiently and expeditiously, with minimal morbidity and negligible mortality?

Second, with present advancements in surgery, is it still necessary to "stage" the operative procedures incident to removal of the inflamed gallbladder? This question brings up the relative merits of cholecystostomy and cholecystectomy, which have been thoroughly discussed in many publications.^5-10 Moreover, it includes the problem of common-duct exploration . . . [Full Text PDF of this Article]

Author Affiliations
St. Louis

From the Department of Surgery, St. Louis University School of Medicine.; Present address (Dr. Wall): 2020 Hayes St., San Francisco.

Footnotes
Submitted for publication March 28, 1958.

Read at the 15th Annual Assembly of the Central Surgical Association, Columbus, Ohio, Feb. 21, 1958.

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