Gallstones
  Laparoscopic Gallbladder Surgery.
   
  “Each year, in the United States, approximately 500,000 people develop symptoms or complications of gallstones requiring cholecystectomy. Gallstone disease is responsible for about 10,000 deaths per year in the United States. About 7000 deaths are attributable to acute gallstone complications, such as acute pancreatitis
   
   
 
Surgical Procedures  >  Gallstones  >  Diagnosis & Treatment    
 

Diagnosis

    It relies on the clinical presentation and evidence of gallstones on diagnostic imaging. An abdominal ultrasound is the standard diagnostic exam for gallstones and acute or chronic cholecystitis.

Treatment/Indications

    Laparoscopic cholecystectomy; there is no other medical treatment that definitely and permanently solves the diseases of the gallbladder. It offers excellent long term results with symptom free patients.
    Indications for laparoscopic cholecystectomy:
    • Symptomatic patients with gallstones or disease of the gallbladder (e.g. acute or chronic cholecystitis)
    • Diabetics should receive treatment promptly because of the higher risk for complications
    • Pregnant women with symptomatic gallstones who fail expectant management can safely undergo surgery during second trimester.
    • Biliary diskinesia
    • Gallbladder wall calcification (“porcelain gallbladder”)
    • Gallstone larger than 2 cm, even if asymptomatic
    Contraindications:
    • Patient unable to tolerate general anaesthesia
    • Pregnancy, first or third trimester.
    • Elevated Bleeding Risk


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