The early operation for acute severe cholecystitis: The Riedel paper; an introduction and translation

Background: For acute cholecystitis in the latter 19th century and early 20 th century, the diagnosis was difficult and the management not defined. Methods and Results: Bernhard Riedel of Jena in Germany documented his pati ents, analysed his results, and described his method of cholecystectomy. Conclusions: Riedel advocated early operation for acute cholecystitis when the conditions were favourable, as for acute appendicitis. He stressed the importance of good lighting, an experienced surgeon and trained assistants. He advocated conservative treatment for minor cholecystitis (biliary colic ) until the diagnosis was certain, followed by elective cholecystectomy to reduce the risk of subsequent acute cholecystitis or bile duct stones. Caut ion was advised when analysing previous statistics, to ensure appropriate p atient comparison.