Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Gallbladder calculi--always an indication for surgery?].

R Bittner1, M Ulrich

  • 1Klinik für Allgemein- und Viszeralchirurgie, Marienhospital Stuttgart. reinhardbittner@vinzenz.de

Der Internist
|January 22, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Why should there be an update of the guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias by the International Endohernia Society?

Annals of medicine and surgery (2012)·2025
Same author

Dephosphorylated uncarboxylated Matrix-Gla-Protein as candidate biomarker for immune-mediated vascular remodeling and prognosis in pulmonary hypertension.

Scientific reports·2024
Same author

Functional host-specific adaptation of the intestinal microbiome in hominids.

Nature communications·2024
Same author

Totally endoscopic sublay (TES) repair for lateral abdominal wall hernias: technique and first results.

Hernia : the journal of hernias and abdominal wall surgery·2021
Same author

Dynamic optical coherence tomography shows characteristic alterations of blood vessels in malignant melanoma.

Journal of the European Academy of Dermatology and Venereology : JEADV·2020
Same author

Lost in translation: true clinical impact of reflectance confocal microscopy overlooked in 'Biopsy outperforms reflectance confocal microscopy in diagnosing and subtyping basal cell carcinoma: results and experiences from a randomized controlled multicentre trial'.

The British journal of dermatology·2020
Same journal

Der Internist·2024
Same journal

Der Internist·2024
Same journal

Der Internist·2024
Same journal

Der Internist·2024
Same journal

Der Internist·2024
Same journal

Der Internist·2024
See all related articles

Prophylactic cholecystectomy (gallstone removal) may be beneficial for asymptomatic gallstones, as complications increase with disease duration. Laparoscopic surgery offers a less invasive option, warranting reevaluation of current treatment guidelines.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Epidemiology

Background:

  • Symptomatic cholecystolithiasis (gallstones) is a clear indication for cholecystectomy.
  • Laparoscopic cholecystectomy is the current gold standard surgical approach.
  • The role of prophylactic cholecystectomy for asymptomatic gallstones remains debated.

Purpose of the Study:

  • To analyze the long-term outcomes of gallstone disease.
  • To evaluate the risks and benefits of prophylactic cholecystectomy.
  • To reassess current treatment strategies for asymptomatic and mildly symptomatic gallstones.

Main Methods:

  • Retrospective analysis of a large patient cohort with gallstone disease.
  • Comparison of complication rates based on disease duration and patient age.

Related Experiment Videos

  • Evaluation of surgical outcomes including operation time, conversion rates, and morbidity.

    • Main Results:

    • Complications such as acute cholecystitis and common bile duct stones significantly increase with longer disease duration.
    • Older patients experience longer operation times, higher conversion rates, and increased morbidity.
    • Previous studies on conventional cholecystectomies showed no advantage for prophylactic surgery.

    Conclusions:

    • A wait-and-see policy for asymptomatic gallstones may need reevaluation due to increasing risks over time.
    • Laparoscopic cholecystectomy's minimal impact on daily activities supports considering it for a broader range of gallstone presentations.
    • Current treatment concepts for asymptomatic and mildly symptomatic gallstones require scrutiny in light of new evidence.