Abstract
Gallbladder disease is a common cause of hospital admissions, and its evaluation and treatment is a frequent occurrence for the acute care surgeon. Understanding gallbladder disease and gallstone sequelae will assist in the clinical management of these patients. This chapter will cover the common clinical presentations of these patients, common indications for cholecystectomy and its proper technique, and postoperative complications.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Shaffer EA. Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21st century? Curr Gastroenterol Rep. 2005;7(2):132–40.
Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012;6(2):172–87.
Behari A, Kapoor VK. Asymptomatic gallstones (AsGS) – To treat or not to? Indian J Surg. 2012;74(1):4–12.
Lamberts MP. Indications of cholecystectomy in gallstone disease. Curr Opin Gastroenterol. 2018;34(2):97–102.
Ikard RW. Gallstones, cholecystitis and diabetes. Surg Gynecol Obstet. 1990;171(6):528–32.
Sakorafas GH, Milingos D, Peros G. Asymptomatic cholelithiasis: is cholecystectomy really needed? A critical reappraisal 15 years after the introduction of laparoscopic cholecystectomy. Dig Dis Sci. 2007;52(5):1313–25.
Gurusamy KS, Koti R, Fusai G, Davidson BR. Early versus delayed laparoscopic cholecystectomy for uncomplicated biliary colic. Cochrane Database Syst Rev. 2013;(6):CD007196.
Canfield AJ, Hetz SP, Schriver JP, Servis HT, Hovenga TL, Cirangle PT, et al. Biliary dyskinesia: a study of more than 200 patients and review of the literature. J Gastrointest Surg. 1998;2(5):443–8.
Veenstra BR, Deal RA, Redondo RE, Daly SC, Najman J, Myers JA, et al. Long-term efficacy of laparoscopic cholecystectomy for the treatment of biliary dyskinesia. Am J Surg. 2014;207(3):366–70; discussion 9–70.
Whipple AO. Surgical criteria for cholecystectomy. Bull N Y Acad Med. 1926;2(6):302–6.
Yokoe M, Hata J, Takada T, Strasberg SM, Asbun HJ, Wakabayashi G, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018;25(1):41–54.
Attasaranya S, Fogel EL, Lehman GA. Choledocholithiasis, ascending cholangitis, and gallstone pancreatitis. Med Clin North Am. 2008;92(4):925–60.. x
da Costa DW, Bouwense SA, Schepers NJ, Besselink MG, van Santvoort HC, van Brunschot S, et al. Same-admission versus interval cholecystectomy for mild gallstone pancreatitis (PONCHO): a multicentre randomised controlled trial. Lancet. 2015;386(10000):1261–8.
Gurusamy KS, Davidson C, Gluud C, Davidson BR. Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis. Cochrane Database Syst Rev. 2013;(6):CD005440.
Wilkins T, Agabin E, Varghese J, Talukder A. Gallbladder dysfunction: cholecystitis, Choledocholithiasis, cholangitis, and biliary dyskinesia. Prim Care. 2017;44(4):575–97.
American Society for Gastrointestinal Endoscopy Standards of Practice Committee, Anderson MA, Appalaneni V, Ben-Menachem T, Decker GA, Early DS, et al. The role of endoscopy in the evaluation and treatment of patients with biliary neoplasia. Gastrointest Endosc. 2013;77(2):167–74.
Sharon Weber BY, Fong Y. Biliary neoplasms. In: Mullholland M, editor. Greenfield’s surgery: scientific principles and practice, vol. 2. 5th ed. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011.
Franquet T, Montes M, Ruiz de Azua Y, Jimenez FJ, Cozcolluela R. Primary gallbladder carcinoma: imaging findings in 50 patients with pathologic correlation. Gastrointest Radiol. 1991;16(2):143–8.
Pineda O, Maydon HG, Amado M, Sepulveda EM, Guilbert L, Espinosa O, et al. A prospective study of the conservative management of asymptomatic preoperative and postoperative gallbladder disease in bariatric surgery. Obes Surg. 2017;27(1):148–53.
Muroni M, Loi V, Lionnet F, Girot R, Houry S. Prophylactic laparoscopic cholecystectomy in adult sickle cell disease patients with cholelithiasis: a prospective cohort study. Int J Surg. 2015;22:62–6.
Tulchinsky M, Colletti PM, Allen TW. Hepatobiliary scintigraphy in acute cholecystitis. Semin Nucl Med. 2012;42(2):84–100.
Shakespear JS, Shaaban AM, Rezvani M. CT findings of acute cholecystitis and its complications. AJR Am J Roentgenol. 2010;194(6):1523–9.
Rodriguez LE, Santaliz-Ruiz LE, De La Torre-Bisot G, Gonzalez G, Serpa MA, Sanchez-Gaetan F, et al. Clinical implications of hepatobiliary scintigraphy and ultrasound in the diagnosis of acute cholecystitis. Int J Surg. 2016;35:196–200.
Richardson WS, Hamad GG, Stefanidis D, Committee SG. SAGES VTE prophylaxis for laparoscopic surgery guidelines: an update. Surg Endosc. 2017;31(2):501–3.
Ahmad G, Gent D, Henderson D, O’Flynn H, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2015;(8):CD006583.
Siddiqui NA, Azami R, Murtaza G, Nasim S. Postoperative port-site pain after gall bladder retrieval from epigastric vs. umbilical port in laparoscopic cholecystectomy: a randomized controlled trial. Int J Surg. 2012;10(4):213–6.
Memon JM, Memon MR, Arija D, Bozdar AG, Talpur MM. Retrieval of gallbladder through epigastric port as compared to umbilical port after laparoscopic cholecystectomy. Pak J Pharm Sci. 2014;27(6 Spec No.):2165–8.
Kaya C, Bozkurt E, Yazici P. The impact of gallbladder retrieval from an epigastric vs. umbilical port on trocar-site complications A prospective randomized study. Ann Ital Chir. 2017;88:326–9.
Strasberg SM, Brunt LM. The critical view of safety: why it is not the only method of ductal identification within the standard of care in laparoscopic cholecystectomy. Ann Surg. 2017;265(3):464–5.
Kelly MD. Laparoscopic retrograde (fundus first) cholecystectomy. BMC Surg. 2009;9:19.
Ota A, Kano N, Kusanagi H, Yamada S, Garg A. Techniques for difficult cases of laparoscopic cholecystectomy. J Hepato-Biliary-Pancreat Surg. 2003;10(2):172–5.
Elshaer M, Gravante G, Thomas K, Sorge R, Al-Hamali S, Ebdewi H. Subtotal cholecystectomy for “difficult gallbladders”: systematic review and meta-analysis. JAMA Surg. 2015;150(2):159–68.
Strasberg SM, Pucci MJ, Brunt LM, Deziel DJ. Subtotal cholecystectomy-“fenestrating” vs “reconstituting” subtypes and the prevention of bile duct injury: definition of the optimal procedure in difficult operative conditions. J Am Coll Surg. 2016;222(1):89–96.
Sheffield KM, Riall TS, Han Y, Kuo YF, Townsend CM Jr, Goodwin JS. Association between cholecystectomy with vs without intraoperative cholangiography and risk of common duct injury. JAMA. 2013;310(8):812–20.
Stewart L. Iatrogenic biliary injuries: identification, classification, and management. Surg Clin North Am. 2014;94(2):297–310.
Mazer LM, Tapper EB, Sarmiento JM. Non-operative management of right posterior sectoral duct injury following laparoscopic cholecystectomy. J Gastrointest Surg. 2011;15(7):1237–42.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
About this chapter
Cite this chapter
Mazer, L., Brill, E. (2020). Cholecystectomy. In: Renton, D., Lim, R., Gallo, A., Sinha, P. (eds) The SAGES Manual of Acute Care Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-21959-8_3
Download citation
DOI: https://doi.org/10.1007/978-3-030-21959-8_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-21958-1
Online ISBN: 978-3-030-21959-8
eBook Packages: MedicineMedicine (R0)