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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]
Kocher's incision – An oblique incision made in the right upper quadrant of the abdomen, classically used for open cholecystectomy. Named after Emil Theodor Kocher. It is appropriate for certain operations on the liver, gallbladder and biliary tract. This shares a name with the Kocher incision used for thyroid surgery: a transverse, slightly ...
Surgery is typically done under general anesthesia. [1] In those who are unable to have surgery, medication to try to dissolve the stones or shock wave lithotripsy may be tried. [1] As of 2017, it is not clear whether surgery is indicated for everyone with biliary colic. [6] In the developed world, 10 to 15% of adults have gallstones. [3]
Several studies have demonstrated the superiority of laparoscopic cholecystectomy when compared to open cholecystectomy (using a large incision in the right upper abdomen under the rib cage). People undergoing laparoscopic surgery report less incisional pain postoperatively as well as having fewer long-term complications and less disability ...
Like with any major surgery, a variety of complications may occur during and after an exploratory laparotomy. These include minor problems, such as superficial skin infection or delayed bowel motility , and major problems, such as bleeding, blood clots in the legs or in the lungs , stroke , deep intraabdominal infection which can lead to sepsis ...
- In laparoscopic cholecystectomy section, we intend to clean up the last paragraph regarding comparison of SILS to traditional laparoscopic cholecystectomy to make it easier to read and understand for the layperson. - In the open cholecystectomy section, we will include reference to confirm complications due to open chole.
Intestinal perforation is a risk of any gastroenterologic endoscopic procedure, and is an additional risk if a sphincterotomy is performed. As the second part of the duodenum is anatomically in a retroperitoneal location (that is, behind the peritoneal structures of the abdomen), perforations due to sphincterotomies are retroperitoneal.
Although unusual, it is possible to have a common bile duct stone despite prior cholecystectomy. One study found that in patients diagnosed with choledocholithiasis, 28% had undergone prior cholecystectomy. Such stones are thought to be the result of stones missed at the time of the cholecystectomy, as opposed to the formation of new stones. [3]