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dc.contributor.CRUESPUNIVERSIDADE ESTADUAL DE CAMPINASpt_BR
dc.contributor.authorunicampFraga, Gustavo Pereira-
dc.typeArtigopt_BR
dc.title2020 World society of emergency surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitispt_BR
dc.contributor.authorPisano, Michele-
dc.subjectColecistectomiapt_BR
dc.subjectCirurgiapt_BR
dc.subject.otherlanguageCholecystectomypt_BR
dc.subject.otherlanguageSurgerypt_BR
dc.description.abstractAcute calculus cholecystitis (ACC) has a high incidence in the general population. The presence of several areas of uncertainty, along with the availability of new evidence, prompted the current update of the 2016 WSES (World Society of Emergency Surgery) Guidelines on ACC.The WSES president appointed four members as a scientific secretariat, four members as an organization committee and four members as a scientific committee, choosing them from the expert affiliates of WSES. Relevant key questions were constructed, and the task force produced drafts of each section based on the best scientific evidence from PubMed and EMBASE Library; recommendations were developed in order to answer these key questions. The quality of evidence and strength of recommendations were reviewed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria (see https://www.gradeworkinggroup.org/). All the statements were presented, discussed and voted upon during the Consensus Conference at the 6th World Congress of the World Society of Emergency Surgery held in Nijmegen (NL) in May 2019. A revised version of the statements was voted upon via an online questionnaire until consensus was reached. The pivotal role of surgery is confirmed, including in high-risk patients. When compared with the WSES 2016 guidelines, the role of gallbladder drainage is reduced, despite the considerable technical improvements available. Early laparoscopic cholecystectomy (ELC) should be the standard of care whenever possible, even in subgroups of patients who are considered fragile, such as the elderly; those with cardiac disease, renal disease and cirrhosis; or those who are generally at high risk for surgery. Subtotal cholecystectomy is safe and represents a valuable option in cases of difficult gallbladder removal.ELC has a central role in the management of patients with ACC. The value of surgical treatment for high-risk patients should lead to a distinction between high-risk patients and patients who are not suitable for surgery. Further evidence on the role of clinical judgement and the use of clinical scores as adjunctive tools to guide treatment of high-risk patients and patients who are not suitable for surgery is required. The development of local policies for safe laparoscopic cholecystectomy is recommendedpt_BR
dc.relation.ispartofWorld journal of emergency surgerypt_BR
dc.relation.ispartofabbreviationWorld j. emerg. surg.pt_BR
dc.publisher.cityLondonpt_BR
dc.publisher.countryReino Unidopt_BR
dc.publisherSpringer Naturept_BR
dc.date.issued2020-
dc.date.monthofcirculationNov.pt_BR
dc.language.isoengpt_BR
dc.description.volume15pt_BR
dc.rightsAbertopt_BR
dc.sourceWOSpt_BR
dc.identifier.eissn1749-7922pt_BR
dc.identifier.doi0.1186/s13017-020-00336-xpt_BR
dc.identifier.urlhttps://wjes.biomedcentral.com/articles/10.1186/s13017-020-00336-xpt_BR
dc.date.available2021-02-11T14:50:08Z-
dc.date.accessioned2021-02-11T14:50:08Z-
dc.description.provenanceSubmitted by Susilene Barbosa da Silva (susilene@unicamp.br) on 2021-02-11T14:50:08Z No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2021-02-11T14:50:08Z (GMT). No. of bitstreams: 0 Previous issue date: 2020en
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/355601-
dc.contributor.departmentDepartamento de Cirurgiapt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.subject.keywordAcute cholecystitispt_BR
dc.subject.keywordGallbladder Drainagept_BR
dc.identifier.source000586869100001pt_BR
dc.creator.orcidSem informaçãopt_BR
dc.type.formArtigo de revisãopt_BR
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