Saturday, March 1, 2008

When should gallstone surgery?

Clinical treatment for gallstone surgery and can be divided into two major categories of non-surgical, treatment after surgery, there may be some complications, so we can not arbitrarily expand the indications for surgery. Has pop cholecystolithotomy stone treatment of gallstones, but in the end more than 80% of patients recurrence of gallstone and was abandoned. Cholecystitis and cholelithiasis two often co-exist side by side, clinical difficult to distinguish. Cholecystectomy treatment of gallstones is the standard method, but a certain degree of adaptation levy : ① gallstone accompanied by any obvious symptoms or the author repeatedly cholecystitis; ② gallstones more particles, which are small, easy to fall into the common bile duct caused cholangitis and pancreatitis; ③ stones greater than 3 cm in diameter; Although the area is asymptomatic and gallbladder cancer risk change. Other cases were still conservative treatment. Laparotomy and laparoscopic surgery, the choice of what kind of operation is good? Abdominal surgery incisions, fully exposed, not only for gallstone surgery, convenience to adjacent organs can be observed and the necessary surgery; While laparoscopic cholecystectomy do less painful and faster recovery advantages, but there are complications, such as may occur during such bile duct injury.

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