Which of the following are indications for cholecystectomy?

Is biliary colic an indication for cholecystectomy?

Background: Biliary colic is one of the commonest indications for laparoscopic cholecystectomy. Laparoscopic cholecystectomy involves several months of waiting if performed electively. However, patients can develop life-threatening complications during this waiting period.

What is now the most common indication to perform open cholecystectomy?

Gallstones that cause biliary colic (acute pain in the abdomen caused by spasm or blockage of the cystic or bile duct) are the most common reason for a cholecystectomy.

What is the criteria for gallbladder removal?

You may need gallbladder surgery if you have pain or other symptoms caused by gallstones — small stones that can form in the gallbladder. They can block the flow of bile and irritate the gallbladder. Common symptoms of gallbladder problems include: Indigestion, with bloating, heartburn, and gas.

What are the types of cholecystectomy?

What is a cholecystectomy?

Open (traditional) method. In this method, 1 cut (incision) about 4 to 6 inches long is made in the upper right-hand side of your belly. The surgeon finds the gallbladder and takes it out through the incision.
Laparoscopic method. This method uses 3 to 4 very small incisions.

What are the complications of cholecystectomy?

Removal of the gallbladder (cholecystectomy) is considered a relatively safe procedure, but like all operations there’s a small risk of complications.

Infection.
Bleeding.
Bile leakage.
Injury to the bile duct.
Injury to the intestine, bowel and blood vessels.
Deep vein thrombosis.
Risks from general anaesthetic.

Is 1.7 cm a large gallstone?

Gallstones can range in size and number. Most commonly, multiple small gallstones measuring about 0.5 cm will be present within the gallbladder. However occasionally there can be either one very large gallstone present measuring up to 5 cm diameter or hundreds of smaller stones the size of a grain of sand.

Why is cholecystectomy delayed?

Although there is a recent trend toward early laparoscopic cholecystectomy (eLC), that is, within 72 hours of symptom onset, some surgeons still prefer delayed operations, or operations after several weeks, expecting subsidence of the inflammation and therefore a higher chance of avoiding open conversion and minimizing …

What are the indications for a cholecystectomy?

Cholecystectomy is indicated in the presence of gallbladder trauma, gallbladder cancer, acute cholecystitis, and other complications of gallstones. More controversial are the indications for elective cholecystectomy. To properly determine the indications for elective cholecystectomy, the risk of the … What are the indications for cholecystectomy?

Who is eligible for cholecystectomy in the US?

Cholecystectomy (or some other form of gallstone therapy) is indicated in most patients with symptomatic cholelithiasis–especially those with non-functioning gallbladders. Cholecystectomy is not indicated in most patients with asymptomatic stones.

When was the first guideline for cholecystectomy published?

SAGES first offered guidelines for the clinical application of laparoscopic cholecystectomy in May 1990. These guidelines have periodically been updated and the last guideline in November 2002 expanded the guidelines to include all laparoscopic biliary tract surgery. This document updates and replaces the previous guideline.

What kind of equipment is needed for laparoscopic cholecystectomy?

The equipment needed for laparoscopic cholecystectomy and intraoperative cholangiography is well established with specific preferences left to the discretion of the operating surgeon.