Article ID: 15-9
Purpose: To clarify appropriate treatment, we investigated cases of gangrenous cholecystitis (GC) in our institution. Methods: This single-center retrospective study included patients who underwent cholecystectomy for acute cholecystitis between 2016 and 2022. We divided the 116 cases into the GC and non-GC groups, and in the GC groups, we additionally divided laparoscopic/laparotomic, or total/subtotal cholecystectomy groups. The groups were compared with in the viewpoints of some clinical factors including complications, and timing of cholecystectomy. Results: The GC group (n=84) had significantly cases with tachycardia and hypotension on admission than the non-GC group (n=57). Limiting in the GC group, in subtotal and laparotomic cholecystectomy groups, the rate of the severity and postoperative complication was significantly high. Early timing (within 24 hours of arrival to the hospital) cholecystectomy tended to have a higher risk of postoperative complication. Conclusion: The present results indicate that cautious medical plans for cases of GC having high risk would be required to emergency physicians. For cases of GC, the physicians cautiously should decide necessity of preoperative treatment, method of intraabdominal approach, and protective treatment for postoperative complication after subtotal cholecystectomy.
