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Related Experiment Videos

Long-term follow-up after open cholecystectomy

J Konsten1, D J Gouma, M F von Meyenfeldt

  • 1Department of Surgery, Maastricht University Hospital, The Netherlands.

The British Journal of Surgery
|January 1, 1993
PubMed
Summary

Open cholecystectomy for symptomatic gallbladder stones offers a positive long-term outcome. Most patients remain symptom-free 10 years post-surgery, with few experiencing complications.

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Area of Science:

  • Gastroenterology
  • Surgical Outcomes
  • Gallbladder Disease

Background:

  • Gallstones are a common condition requiring surgical intervention.
  • Open cholecystectomy has been a standard treatment for symptomatic gallstones.
  • Long-term outcomes of this procedure require continued investigation.

Purpose of the Study:

  • To evaluate the long-term outcome of open cholecystectomy.
  • To assess symptom recurrence and patient complaints 10 years after surgery.
  • To identify factors influencing post-operative complaints.

Main Methods:

  • Retrospective analysis of physician records for 325 patients.
  • Follow-up data collected at a median of 10 years post-surgery.
  • Analysis of patient symptoms, stone recurrence, and biliary complaints.

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Main Results:

  • 81.5% of patients were asymptomatic 10 years after open cholecystectomy.
  • 18.5% of patients reported post-operative complaints, most unrelated to the procedure.
  • Stone recurrence occurred in 1.5% of patients; biliary complaints in 3.1%.

Conclusions:

  • Open cholecystectomy demonstrates a favorable long-term outcome for the majority of patients.
  • Post-cholecystectomy symptoms are infrequent 10 years after surgery.
  • Pre-operative symptom presentation may influence post-operative complaint rates.