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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
Published on: November 25, 2025
Defined indications for elective cholecystectomy for gallstone disease
I Halldestam1, E Kullman, K Borch
1Department of Surgery, University Hospital of Linköping, SE-58185 Linköping, Sweden. ingvar.halldestam@lio.se
The British Journal of Surgery
|December 29, 2007
Summary
Elective cholecystectomy for gallstones offers high pain relief, especially for typical pain locations. However, atypical pain or frequent episodes before surgery may reduce the chance of becoming pain-free post-operation.
Area of Science:
- Gastroenterology
- Surgical Outcomes
Background:
- Investigated symptomatology and quality of life after elective cholecystectomy for symptomatic gallstone disease.
- Focused on patients with defined surgical indications.
Purpose of the Study:
- To assess patient-reported outcomes, including digestive symptoms and quality of life, after elective cholecystectomy.
- To identify factors influencing persistent pain post-surgery.
Main Methods:
- Prospective study of 200 patients undergoing elective cholecystectomy.
- Used self-administered questionnaires to record symptoms and quality of life pre-surgery and at 3 and 12 months post-surgery.
Main Results:
- 91.3% of patients with typical pre-operative abdominal pain reported remission or reduced frequency 12 months later.
- 77% of patients with atypical/multiple pain locations experienced reduced frequency or disappearance of pain.
- Pre-operative pain frequency, atypical pain location, food intolerance, and gas correlated with post-operative pain.
Conclusions:
- Elective cholecystectomy is associated with a low frequency of persistent abdominal pain, particularly for patients with typical pre-operative pain.
- Atypical pain location and frequent pre-operative pain episodes negatively impact the likelihood of becoming pain-free.
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