Laparoscopic approach in gastrointestinal emergencies

Table 1 Treatment for acute cholecystitis depending on severity grading

Grade	Management
Grade I	Early laparoscopic cholecystectomy is the treatment of choice. Conservative treatment is indicated for high-risk patients
Grade II	Laparoscopic cholecystectomy carried out by expert surgeons is preferred. In cases of severe inflammation, the most adequate treatment is emergency laparoscopic cholecystectomy or cholecystostomy
Grade III	The treatment of choice consists of adequate organ support together with medical management and biliary drainage or emergency cholecystectomy. In the event of choleperitoneum after gallbladder perforation, emergency laparoscopic cholecystectomy is the treatment of choice