Technical aspects of cholecystectomy

Surg Clin North Am. 2014 Apr;94(2):427-54. doi: 10.1016/j.suc.2014.01.007.

Abstract

The gold standard for the surgical treatment of symptomatic cholelithiasis is conventional laparoscopic cholecystectomy (LC). Although it has been associated with a slightly higher incidence of bile duct injury (BDI) in comparison with open cholecystectomy (OC), LC is considered a very safe operation. Prevention of BDI should be routinely performed in every LC. Recent trends include the performance of cholecystectomy through a single incision and NOTES (Natural Orifice Transluminal Endoscopic Surgery). However, lack of evidence of clinical advantages prevents their widespread adoption, and more data are needed to assess whether their use is warranted.

Keywords: Alternative approaches; Cholecystectomy; Laparoscopy; Natural orifice transluminal endoscopic surgery; Single-incision laparoscopy.

Publication types

  • Review

MeSH terms

  • Bile Ducts / injuries
  • Cholangiography / methods
  • Cholecystectomy, Laparoscopic / instrumentation
  • Cholecystectomy, Laparoscopic / methods*
  • Conversion to Open Surgery
  • Dissection / methods
  • Humans
  • Intraoperative Care / methods
  • Natural Orifice Endoscopic Surgery / instrumentation
  • Natural Orifice Endoscopic Surgery / methods
  • Patient Care Planning
  • Patient Selection
  • Pneumoperitoneum, Artificial / methods
  • Postoperative Complications / prevention & control
  • Preoperative Care / methods
  • Surgical Instruments
  • Tissue Adhesions / surgery
  • Wound Closure Techniques