Surgery Book

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Cholecystectomy

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  1. Indications
    1. Biliary Colic
    2. Biliary Dyskinesia
    3. Calcified Gallbladder
    4. Acute Cholecystitis (urgent, perform within 72 hours)
    5. Choledocholithiasis (perform after common duct cleared)
    6. Gallstone Pancreatitis (after Pancreatitis resolves)
  2. Timing of Surgery: Early surgery is safe and preferred
    1. Incidence of technical complications is the same
    2. Reduces total illness duration by 30 days
    3. Hospitalization time reduced by 5-7 days
    4. Direct medical cost savings reduced by > $2000
    5. Death rate slightly lower with early surgery
    6. References
      1. Stevens (2006) Am J Surg 192:756
  3. Treatment protocol: Laparoscopy preferred method
    1. Decreased pain and Disability
      1. Much earlier return to work time
      2. Shorter hospital stay (often outpatient)
    2. Lower mortality
      1. Laparoscopic: 8 to 16 per 10,000 patients
      2. Open: 66 to 74 per 10,000 patients
      3. Shea (1996) Ann Surg 224:609
    3. Treatment cost slightly less than open cholecystectomy
    4. Better cosmetic result
  4. Complications
    1. Common Bile duct injury
      1. Laparoscopic: 36 to 47 per 10,000 patients
      2. Open: 19 to 29 per 10,000 patients
      3. Shea (1996) Ann Surg 224:609

Cholecystectomy (C0008320)

Definition (MSH)Surgical removal of the GALLBLADDER.
Definition (CSP)surgical removal of the gallbladder.
Definition (NCI)Surgical removal of the gallbladder.
ConceptsTherapeutic or Preventive Procedure (T061)
ICD951.2, 51.22
EnglishCholecystectomies, Cholecystectomy, Excision of gallbladder, Gallbladder excision, gallbladder removal, Removal of gallbladder
Spanishcolecistectomía, colecistectomia, escisión de la vesícula biliar, escision de la vesicula biliar
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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