Cholecystectomy for Complicated Gallbladder and Common Biliary Duct Stones: Current Surgical Management

Frontiers in Surgery

article

Yanna Argiriov¹  Melanie Dani¹  Christos Tsironis²  Louis J. Koizia¹ 

[1] Cutrale Perioperative and Ageing Research Group, Department of Bioengineering, Imperial College London, United Kingdom;Department of Surgery, Imperial College Healthcare NHS Trust, United Kingdom

关键词: cholecystectomy;    early cholecystectomy;    delayed cholecystectomy;    gallstones;    biliary disease;   

DOI  :  10.3389/fsurg.2020.00042

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Gallstone disease accounts for the vast majority of acute surgical admissions in the UK, with a major treatment being cholecystectomy. Practice varies significantly as to whether surgery is performed during the acute symptomatic phase, or after a period of recovery. Differences in practice relate to operative factors, patient factors, surgeon factors and hospital and trust wide policies. In this review we summarize recent evidence on management of gallstone disease, particularly with respect to whether cholecystectomy should occur during index presentation or following recovery. We highlight morbidity and mortality studies, cost, and patient reported outcomes. We speculate on barriers to change in service delivery. Finally, we propose potential solutions to optimize care.

【 授权许可】

CC BY