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Cholecystectomy is a common treatment of symptomatic gallstones and other gallbladder conditions. [1] In 2011, cholecystectomy was the eighth most common operating room procedure performed in hospitals in the United States. [2] Cholecystectomy can be performed either laparoscopically, or via an open surgical technique. [3] [page needed]
Cholecystectomy, the surgical removal of the gallbladder, is one of the most common surgical procedures done worldwide. This is most often done electively, but the gallbladder can become acutely inflamed and require an emergency operation. Infections and rupture of the appendix and small bowel obstructions are other common emergencies.
Studies have shown that premature removal (before 21 days) is associated with a higher incidence of bile leaks. [11] Once the cholecystitis is resolved and adequate time has passed for tract maturation, a clamp trial can be conducted for 24 hours to assess drainage from the gallbladder. [ 9 ]
There are two surgical options for cholecystectomy: Open cholecystectomy is performed via an abdominal incision below the lower right ribs. Recovery typically requires 3–5 days of hospitalization, with a return to normal diet a week after release and to normal activity several weeks after release. [13]
once every 6 hours q2wk: once every 2 weeks qAc Before every meal (from Latin quaque ante cibum) q.a.d. every other day (from Latin quaque altera die) QALY: quality-adjusted life year: q.AM: every day before noon (from Latin quaque die ante meridiem) q.d. every day (from Latin quaque die) q.d.s. four times each day (from Latin quater die ...
[27] Removal of the gallbladder with surgery, known as a cholecystectomy, is the definitive surgical treatment for biliary colic. [28] A 2013 Cochrane review found tentative evidence to suggest that early gallbladder removal may be better than delayed removal. [29] Early laparoscopic cholecystectomy happens within 72 hours of diagnosis. [13]
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Treatment is usually with laparoscopic gallbladder removal, within 24 hours if possible. [7] [10] Taking pictures of the bile ducts during the surgery is recommended. [7] The routine use of antibiotics is controversial. [5] [11] They are recommended if surgery cannot occur in a timely manner or if the case is complicated. [5]