The controversy over the treatment of acute cholecystitis seems to have produced no definite agreement. This is partly because the conclusions and deductions of the many analytic studies are based on variable and inconstant factors. This paper is an attempt to find a common denominator for these factors and to place the problem, from both the etiologic and the therapeutic viewpoint, on a more solid pathologic basis. Such a state is desirable in view of the increasing consciousness that serious complications are more common than was formerly believed (empyema of the gallbladder, pericholecystitis, fistula formation, gangrene, perforation and such conditions).
The prevailing discussions do not, nor does this one, concern the general treatment, on which all physicians agree—namely, that the patient must be carried over the immediate dangers with the greatest assurance of safety. Rather, they concern the method by which this should be accomplished—i. e. medical therapy, which is
MACDONALD D. TREATMENT OF ACUTE CHOLECYSTITISA SUGGESTED TWO STAGE TREATMENT. Arch Surg. 1943;47(1):20-25. doi:10.1001/archsurg.1943.01220130023004