Abstract
Gallstone disease is highly prevalent and is a common surgical indication. This chapter discusses the appropriate timing of surgical intervention in gallstone disease – specifically, in acute cholecystitis and gallstone pancreatitis. The surgical literature has long debated early versus late cholecystectomy in both disease processes. Large randomized controlled trials and meta-analyses suggest early cholecystectomy is beneficial in acute cholecystitis and mild gallstone pancreatitis. This chapter will also briefly discuss two important tenets of acute surgical intervention in gallstone disease: the critical view of safety and damage control cholecystectomy.
Keywords
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kelly TR, Wagner DS. Gallstone pancreatitis: a prospective randomized trial of the timing of surgery. Surgery. 1988;104:600–5.
Bornman PC, Terblanche J. Subtotal cholecystectomy: for the difficult gallbladder in portal hypertension and cholecystitis. Surgery. 1985;98:1–6.
Strasberg SM, Brunt LM. Rationale and use of the critical view of safety in laparoscopic cholecystectomy. J Am Coll Surg. 2010;211:132–8. https://doi.org/10.1016/j.jamcollsurg.2010.02.053.
Kaya B, Fersahoglu MM, Kilic F, Onur E, Memisoglu K. Importance of critical view of safety in laparoscopic cholecystectomy: a survey of 120 serial patients, with no incidence of complications. Ann Hepatobiliary Pancreat Surg. 2017;21:17–20. https://doi.org/10.14701/ahbps.2017.21.1.17.
Ranson JH. The timing of biliary surgery in acute pancreatitis. Ann Surg. 1979;189:654–63.
Acosta JM, Ledesma CL. Gallstone migration as a cause of acute pancreatitis. N Engl J Med. 1974;290:484–7. https://doi.org/10.1056/NEJM197402282900904.
Wu X-D, Tian X, Liu M-M, Wu L, Zhao S, Zhao L. Meta-analysis comparing early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg. 2015;102:1302–13. https://doi.org/10.1002/bjs.9886.
Song G-M, Bian W, Zeng X-T, Zhou J-G, Luo Y-Q, Tian X. Laparoscopic cholecystectomy for acute cholecystitis: early or delayed?: evidence from a systematic review of discordant meta-analyses. Medicine. 2016;95:e3835. https://doi.org/10.1097/MD.0000000000003835.
Papi C, Catarci M, D’Ambrosio L, Gili L, Koch M, Grassi GB, Capurso L. Timing of cholecystectomy for acute calculous cholecystitis: a meta-analysis. Am J Gastroenterol. 2004;99:147–55.
Trowbridge RL, Rutkowski NK, Shojania KG. Does this patient have acute cholecystitis. JAMA. 2003;289:80–6.
Cao AM, Eslick GD, Cox MR. Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: a meta-analysis of case-control studies. Surg Endosc. 2016;30:1172. https://doi.org/10.1007/s00464-015-4325-4.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Russell, D. (2019). Gallstone Disease and the Timing of Cholecystectomy for Acute Cholecystitis and Gallstone Pancreatitis. In: Lim, R. (eds) Multidisciplinary Approaches to Common Surgical Problems. Springer, Cham. https://doi.org/10.1007/978-3-030-12823-4_16
Download citation
DOI: https://doi.org/10.1007/978-3-030-12823-4_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-12822-7
Online ISBN: 978-3-030-12823-4
eBook Packages: MedicineMedicine (R0)