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Acute Calculus Cholecystitis: Early Laparoscopic Cholecystectomy vs. Drainage Procedures Acute calculus cholecystitis is a common surgical emergency, and its management has evolved with the adoption of early laparoscopic cholecystectomy (LC). However, high-risk patients (Tokyo Guidelines Grade 3) pose a challenge, often requiring gallbladder drainage as a bridging procedure before interval cholecystectomy. In this in-depth review, we discuss: ✅ Early Laparoscopic Cholecystectomy – Gold standard for fit patients ✅ Subtotal Cholecystectomy – A safer alternative in difficult cases ✅ Percutaneous Cholecystostomy (PC) – The most common drainage method ✅ Endoscopic Drainage Options – Transpapillary (ETGBD) & EUS-guided (EUS-GBD) for non-surgical candidates Whether you're a surgeon, gastroenterologist, or medical student, this video provides essential insights into the latest evidence-based strategies for managing acute cholecystitis. 🔔 Subscribe for more surgical & gastroenterology updates! 👍 Like & Share if you find this helpful! Keywords: Acute cholecystitis Calculus cholecystitis Laparoscopic cholecystectomy Early cholecystectomy Tokyo Guidelines Grade 3 High-risk cholecystitis Percutaneous cholecystostomy Gallbladder drainage Endoscopic gallbladder drainage EUS-guided gallbladder drainage Transpapillary gallbladder drainage ETGBD EUS-GBD Subtotal cholecystectomy Interval cholecystectomy Bridging procedure Cholecystitis management Gallbladder infection Biliary surgery Emergency cholecystectomy Minimally invasive surgery Gallstones treatment Surgical drainage Endoscopic vs. surgical drainage Complications of cholecystitis #AcuteCholecystitis #Cholecystectomy #LaparoscopicSurgery #TokyoGuidelines #Gallbladder #PercutaneousCholecystostomy #GallbladderDrainage #SurgicalDrainage #GeneralSurgery #Gastroenterology #MinimallyInvasiveSurgery #BiliarySurgery #Gallstones #SurgicalComplications #EmergencySurgery #Hepatobiliary