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March 1961

Surgical Management of Acute CholecystitisAn Analysis of 274 Cases

Arch Surg. 1961;82(3):366-372. doi:10.1001/archsurg.1961.01300090036007

Acute cholecystitis, a common surgical entity, has been extensively written up in the literature with the emergence of certain "trends" in its management. In spite of the statistical background, it appears that every patient must be individualized and handled accordingly. This presentation analyzes the experience at the Deaconess Hospital of Buffalo in the management of 274 such patients.

Materials and Methods  During the 12 years from 1947 to 1958, the Surgical Services at the Deaconess Hospital treated 274 patients with acute cholecystitis, while 1,308 patients were treated for chronic cholecystitis, with and without cholelithiasis, by all the services. Thus, 17.3% of the patients presented with acute cholecystitis (Table 1).The patients with acute cholecystitis are divided into 3 clinical categories according to the type of treatment given them: Category 1. Those treated with early operation, performed within the first 72 hours of the clinical attack or in the first 2

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