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[Risk in elective cholecystectomy].

K Orth1, S Haas, W Oettinger

  • 1Allgemeine Chirurgie der Universität Ulm.

Zeitschrift Fur Gastroenterologie
|November 1, 1990
PubMed
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Elective cholecystectomy for symptomatic gallstones is a safe procedure with low complication rates and zero mortality, even in elderly patients. This surgery also aids in detecting incidental gallbladder cancer.

Area of Science:

  • Surgical Gastroenterology
  • Hepatobiliary Surgery
  • Oncologic Surgery

Background:

  • Gallbladder stone disease (cholelithiasis) is a common condition requiring surgical intervention.
  • Elective cholecystectomy is the standard treatment for symptomatic gallstones.
  • Understanding the safety and outcomes of this procedure is crucial for patient management.

Purpose of the Study:

  • To evaluate the safety and efficacy of elective cholecystectomy for symptomatic cholelithiasis.
  • To assess intraoperative and postoperative complication rates.
  • To determine the incidence of incidental gallbladder carcinoma found during surgery.

Main Methods:

  • Retrospective analysis of 773 patients undergoing elective cholecystectomy between March 1982 and December 1989.

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  • Data collection included patient demographics, indications for surgery, intraoperative findings, and postoperative outcomes.
  • Complication rates, re-operation rates, and incidental findings were analyzed.

    • Main Results:

    • Symptomatic cholelithiasis was the indication in 87% of cases, with a mean patient age of 55-56 years.
    • Low rates of intraoperative (2.8%) and postoperative complications (15.2%) were observed.
    • Zero mortality was recorded across all age groups, and 1.16% of patients had incidental gallbladder carcinoma.

    Conclusions:

    • Elective cholecystectomy is a safe and effective therapeutic option for gallbladder stone disease.
    • The procedure demonstrates a favorable safety profile with minimal mortality and manageable complications.
    • Routine cholecystectomy can lead to the incidental diagnosis of gallbladder carcinoma, highlighting its importance in disease management.