[Acute XXXX . Role of laparoscopy after 30 years of traditional surgery experience].

@entity1 @entity788 @entity656
The authors herein show their own experience in the treatment of @entity656 . Aim of this study is to evaluate the effectiveness and the safety of the "early" laparoscopic approach to the mild to moderate @entity656 . The authors studied sixty cases of laparoscopic cholecystectomy with intraoperative colangiography for @entity656 (M/F 1:1.2; mean age 59.6 yrs, range 29.79). The @entity1 were divided in two groups on the basis of the severity of the @entity788 , defined through Ranson's score and Balthazar classification. The mortality rate was nil. Intraoperative morbidity rate was 6.6% in the group I (3/45), and 13.3% in the group II (2/15). Postoperative morbidity rate was 6.7% (3/45) in the group I and 40% in the group II (6/15). The authors show an original diagnostic and therapeutic algorithm for the treatment of @entity656 . Early laparoscopic cholecystectomy with I.O.C. is proposed as the gold standard treatment for mild to moderate @entity656 . This approach appears to be effective and safe in their experience. In case of severe @entity656 , further investigations are mandatory to evaluate the role of laparoscopic approach.
