发展中国家在COVID大流行期间处理胆囊脓胸的非正统方法

M. Ullah
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引用次数: 0

摘要

腹腔镜胆囊切除术已成为治疗胆结石疾病的标准治疗方法。当胆结石患者出现急诊并发症时,对高危患者的管理变得具有挑战性。这些患者通常是有多种合并症的老年人;特别是患有不受控制的糖尿病的心脏病患者,晚期出现急性胆囊炎和全身性炎症。手术时机、术前优化程度和腹腔镜手术的使用在世界各地的这类患者中继续有所不同,特别是在COVID - 19大流行方面。我们报告一例老年男性胆囊脓胸在第一波COVID大流行。
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Unorthodox approach to management of Empyema Gallbladder during COVID pandemic in a developing country
Laparoscopic Cholecystectomy has established itself as the standard of care for treatment of gallstone disease. The management of high risk patients becomes challenging when they present in Emergency with complications of gallstone disease. These patients are generally elderly with multiple co-morbids; in particular cardiac patients with uncontrolled diabetes present late with acute cholecystitis and have systemic inflammation. The timing of surgery, extent of pre-operative optimization and use of laparoscopy for surgery continue to be utilized differently in such patients across the world especially in regard to COVID Pandemic. We report a case of elderly male with empyema gallbladder during first wave of COVID pandemic.
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35
审稿时长
16 weeks
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