Laparoscopic Solutions®


		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”



	Gallstones (Laparoscopic gallbladder surgery)



	Introduction


	Gallbladder Diseases

	Gallstones (cholelithiasis)

	Acute/chronic cholecystitis


	Diagnosis & Treatment



	Laparoscopic vs Open Surgery



	Surgical Technique

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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