Abstract:

Surgical treatment of acute acalculous cholecystitis                    LU Qi-ping，CAO Jun.  Department of General Surgery，Wuhan General Hospital of Guangzhou Military Command of PLA，Wuhan 430070，China
Corresponding author：LU Qi-ping，E-mail：ptwklqp111@163.com
Abstract    Acute acalculous cholecystitis is relatively rare in clinical practice and mainly occurs in special population. The clinical feature of acute acalculous cholecystitis includes acute onset，rapid progress，high incidence of gangrene and perforation of cholecyst accompany with high mortality. Early diagnosis and rational surgical intervene are closely related to the prognosis. Imaging examinations play important roles in diagnosis and computer tomography (CT) is the most preferred. Damage control surgery should be applied for acute acalculous cholecystitis. Surgical treatments including percutaneous transhepatic gallbladder drainage，laparoscopic cholecystectomy or open cholecystectomy should be chosen according to various patients, which can get satisfactory outcome.

Key words: acute acalculous cholecystitis, damage control surgery

摘要：

急性非结石性胆囊炎临床相对少见，发病人群特殊，具有起病急、进展快，胆囊坏疽、穿孔发生率高，病死率高的特点，及时诊断和正确行外科干预与预后密切相关。在该病的诊断中影像学检查特别是CT检查具有重要价值。在治疗中需根据病人的个体情况，遵从损伤控制理论，分别选用经皮经肝胆囊穿刺引流术或经腹腔镜（开腹）胆囊切除术，可达到较好的治疗效果。

关键词: 急性非结石性胆囊炎, 损伤控制外科