Guidelines established for managing high-risk acute cholecystitis patients

An international Delphi consensus study outlines management strategies for high-surgical risk patients with acute cholecystitis. Early laparoscopic cholecystectomy is preferred for those who fail conservative treatment. For severe cases, percutaneous cholecystostomy is recommended to alleviate symptoms quickly. The study emphasizes the importance of assessing surgical candidacy after infection control and designates a minimum duration for percutaneous cholecystostomy in patients unsuitable for surgery. This consensus acts as a guide for clinicians navigating complex cases.