无症状胆结节炎:切口或胆结节切除术. 一个系统的审查
Jose Roberto Alves1, Diurlhane Mainara Klock2, Filipe Gonçalves Ronzani2
1Universidade Federal de Santa Catarina, Department of Surgery - Florianópolis (SC), Brazil.
概括
保守的治疗通常对无症状胆结石是安全的. 预防性胆囊切除术可能会被考虑在心脏移植后的患者和胆道微病患者中,但需要更多的证据.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 无症状胆病 (胆结石) 是常见的,需要评估预防性胆囊切除术的风险和益处.
- 增加对成像的访问,突出了无声胆结石的流行.
- 在预防性手术和保守管理之间做出决定需要仔细考虑.
结论:
- 目前的证据支持大多数无症状胆结石病例的保守管理.
- 特定的患者群体,如心脏移植后患者和胆道微病患者,需要进一步研究预防性胆囊切除术.
- 需要更高级别的证据研究来巩固预防性胆囊切除术的建议.
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