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      Tokyo Guidelines 2013 may be too restrictive and patients with moderate and severe acute cholecystitis can be managed by early cholecystectomy too.

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          Abstract

          The aim of this study was to determine whether early laparoscopic cholecystectomy (LC) is safe and feasible for patients diagnosed with moderate (grade 2) and severe (grade 3) acute cholecystitis (AC) according to the Tokyo Guidelines 2013 (TG13).

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          Author and article information

          Journal
          Surg Endosc
          Surgical endoscopy
          Springer Nature America, Inc
          1432-2218
          0930-2794
          July 2017
          : 31
          : 7
          Affiliations
          [1 ] Division of General Surgery-HPB, Department of General Surgery, Tan Tock Seng Hospital, Annex 1, Level 4 General Surgery Office, Singapore, Singapore. vinoban.amirthalingam@mohh.com.sg.
          [2 ] Division of General Surgery-HPB, Department of General Surgery, Tan Tock Seng Hospital, Annex 1, Level 4 General Surgery Office, Singapore, Singapore.
          Article
          10.1007/s00464-016-5300-4
          10.1007/s00464-016-5300-4
          27804044
          e62d8aab-6461-4e45-9fe2-3237726ce0d9
          History

          Body mass index,Tokyo Guidelines,Subtotal cholecystectomy,Percutaneous cholecystostomy,Gallbladder drainage,Early laparoscopic cholecystectomy,Delayed cholecystectomy,Acute cholecystitis

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