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

Cholecystectomy: the gold standard.

C K McSherry1

  • 1Department of Surgery, Beth Israel Medical Center, New York, New York 10003.

American Journal of Surgery
|September 1, 1989
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

Second surgical opinion programs: dead or alive?

Journal of the American College of Surgeons·1997
Same author

Spermatic granuloma. An uncommon complication of the tension-free hernia repair.

Surgical endoscopy·1996
Same author

Why are cholecystectomy rates increasing?

JAMA·1995
Same author

Asymptomatic metachronous metastatic renal cell adenocarcinoma to the gallbladder. Report of a case and guidelines for evaluation of intraluminal polypoid gallbladder masses.

Digestive diseases and sciences·1994
Same author

Laparoscopic management of common bile duct stones.

Surgical endoscopy·1994
Same author

Pneumothorax associated with laparoscopic cholecystectomy.

Surgical endoscopy·1994

Surgical interventions for non-malignant biliary tract disease show low mortality rates. Nonsurgical gallstone therapies are unlikely to reduce mortality due to factors like stone recurrence.

Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Surgical Outcomes Research

Background:

  • Biliary tract diseases, including those caused by gallstones, are common conditions requiring surgical management.
  • Historically, surgical procedures have been the primary treatment for symptomatic gallstone disease.
  • Assessing long-term surgical outcomes is crucial for understanding disease management and comparing treatment efficacy.

Purpose of the Study:

  • To evaluate the postoperative mortality associated with various surgical procedures for non-malignant biliary tract disease.
  • To assess the impact of surgical interventions over a long period (1932-1984).
  • To determine the potential role and limitations of non-surgical alternatives in managing calculous biliary tract disease.

Main Methods:

Related Experiment Videos

  • Retrospective analysis of 14,232 patients undergoing surgery for non-malignant biliary tract disease.
  • Categorization of procedures including cholecystectomy, cholecystostomy, common duct exploration, and choledochotomy.
  • Review of postoperative mortality data for each surgical category and analysis of recent trends.

    • Main Results:

    • Overall postoperative mortality for 14,232 patients was 1.66% (237 deaths).
    • Cholecystectomy had a mortality rate of 0.56% (60 deaths in 10,749 patients).
    • Procedures involving common duct exploration had higher mortality (e.g., 3.99% for cholecystectomy/cholecystostomy with exploration).
    • Recent data (last 6 years) showed a significant decrease in mortality, with few patients suitable for non-surgical options.
    • Stone recurrence remains a significant limitation for non-gallbladder-removing therapies.

    Conclusions:

    • Surgical management of non-malignant biliary tract disease, particularly cholecystectomy, has demonstrated low postoperative mortality.
    • Non-surgical therapies for gallstone disease are unlikely to significantly reduce mortality from calculous biliary tract disease.
    • Gallbladder removal remains a critical factor in preventing stone recurrence and improving long-term outcomes.