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Topic: Cholecystectomy

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Abdominal surgery

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	Patient Information for Laparoscopic Gall Bladder Removal (Cholecystectomy) from SAGES \| Society of American ...
		Complications of laparoscopic cholecystectomy are infrequent, but include bleeding, infection, pneumonia, blood clots, or heart problems.
		Unintended injury to adjacent structures such as the common bile duct or small bowel may occur and may require another surgical procedure to repair it.
		If you have a question about your need for a laparoscopic cholecystectomy, your alternatives, billing or insurance coverage, or your surgeons training and experience, do not hesitate to ask your surgeon or his/her office staff about it.
	www.sages.org /pi_cholecystectomy.html (1555 words)

	Cholecystectomy - Types & Care - surgerychannel
		Cholecystectomy is the surgical removal of the gallbladder, a small pear-shaped sac that is located directly beneath the liver in the upper right side of the abdomen.
		Cholecystectomy is the treatment of choice for this condition.
		Two procedures are utilized to surgically remove the gallbladder: open cholecystectomy and laparoscopic cholecystectomy.
	www.surgerychannel.com /cholecystectomy (590 words)

	Laparoscopic Cholecystectomy
		During this evolving process which continues today the entire general surgical community had to be trained and monitored to use this minimally invasive approach in such a way that assured safety and efficacy in the general population.
		Early in the national experience with laparoscopic cholecystectomy it became apparent that some surgeons who were in the early phases of their training would misidentify the anatomy and inadvertently clip and divide the common bile duct thinking it to be the cystic duct.
		Because of these problems a national consensus conference was called by the NIH in 1992 to question the safety and efficacy of laparoscopic cholecystectomy as well as the value and use of cholangiography during laparoscopic cholecystectomy.
	www.lectlaw.com /med/med12.htm (1159 words)

	Section 5 Chapter 21 Cholecystectomy and Common Bile Duct Exploration
		The morbidity associated with cholecystectomy is attributable to injury to the abdominal wall in the process of gaining access to the gallbladder (i.e., the incision in the abdominal wall and its closure) or to inadvertent injury to surrounding structures during dissection of the gallbladder.
		Technical difficulties associated with cholecystectomy for acute cholecystitis include dense adhesions, the increased vascularity of tissues, difficulty in grasping the gallbladder, an impacted stone in the gallbladder neck or the cystic duct, shortening and thickening of the cystic duct, and close approximation of the CBD to the gallbladder wall.
		As with laparoscopic cholecystectomy, it is critical to identify the cystic duct and artery and their anatomic relations to the gallbladder and common bile duct before division and to avoid injury to the common bile duct or common hepatic duct.
	www.acssurgery.com /acsonline/chapters/ch0521.htm (14704 words)

	Laparoscopic Gallbladder Removal :: Minimally Invasive Cholecystectomy
		Laparoscopic cholecystectomy is a minimally-invasive surgical procedure that is performed using laparoscopic visualization of the gallbladder and surrounding vital structures.
		However, the results of laparoscopic cholecystectomy are greatly influenced by the skill and experience of the surgeon performing the procedure and reflect a rapid acquisition of appropriate technical skills.
		Laparoscopic cholecystectomy can be performed at a treatment cost that is equal to or slightly less than that of open cholecystectomy, and with substantial cost savings to the patient due to reduced loss of time from work.
	www.lapsurg.org /gallbladder.html (1291 words)

	Laparoscopic Cholecystectomy (Site not responding. Last check: )
		Cholecystectomy is perhaps the most common procedure performed by a general surgeon possibly second only to herniorrhaphy.
		During Laparoscopic Cholecystectomy a cholangiogram may be performed for clarification of ductal anatomy or if there is the possibility of stones within the ductal system.
		When Laparoscopic Cholecystectomy was first becoming popular among surgeons around the USA and indeed throughout the world there was initially an increase in the incidence of common bile duct injuries during cholecystectomy via the laparoscopic approach as compared to the open procedure.
	www.njsurgery.com /html/Procedures/laparoscopic_cholecystectomy.html (981 words)

	BioMed Central \| Full text \| Non-randomised patients in a cholecystectomy trial: characteristics, procedures, and ...
		Cholecystectomy was not performed as day-case surgery at the time of the trial, but day-cases have since been introduced both for laparoscopic cholecystectomy and mini-laparotomy at the hospitals participating in the present trial.
		Cholecystectomy in elderly and vulnerable patients, who often have complications of gallstone disease, is associated with considerable mortality [5,10].
		Nevertheless, the number of conventional open cholecystectomy compared to mini-laparotomy cholecystectomy is a matter of concern, as randomised controlled trials [11-13] have concluded that the surgical trauma is greater after conventional open cholecystectomy than after mini-laparotomy cholecystectomy.
	www.biomedcentral.com /1471-2482/6/17 (2439 words)

	ACP Online - Effective Clinical Practice - Diffusion of Laparoscopic Cholecystectomy
		For cholecystectomy patients covered by the New York Medicare program and for cholecystectomy patients in Maryland, the operative mortality rate associated with open cholecystectomy more than doubled in the 3 years after introduction of the laparoscopic procedure; in contrast, an increase of only 46% was noted in the VA system.
		In conclusion, the introduction of laparoscopic cholecystectomy in the VA system resulted in a 10% increase in the overall rate of cholecystectomy, a 9% decrease in the total number of operative deaths, and a 16% decrease in the total number of postoperative hospital days for cholecystectomy patients.
		The slower diffusion of laparoscopic cholecystectomy in the VA system may be explained by the absence of substantial financial incentives for physicians and hospitals to use the procedure and the fact that the VA system cares for older, more seriously ill patients.
	www.acponline.org /journals/ecp/marapr99/diffus.htm (3251 words)

	Cholecystectomy- The Doctors Lounge(TM)
		Traditional open cholecystectomy is a major abdominal surgery in which the surgeon removes the gallbladder through a 5- to 8-inch incision.
		Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones unless there are contraindications against the laparoscopic approach.
		Laparoscopic cholecystectomy does not require the abdominal muscles to be cut, resulting in less pain, quicker healing, improved cosmetic results, and fewer complications such as infection.
	www.doctorslounge.com /surgery/procedures/cholecystectomy.htm (553 words)

	Laparoscopic Cholecystectomy (Site not responding. Last check: )
		Laparoscopic cholecystectomy was introduced in the United States in 1989, and has been embraced by both the surgical community and the American public.
		Other indications for cholecystectomy include prophylactic removal of the gallbladder in patients with cholelithiasis who are scheduled to undergo organ transplantation, or in patients with a calcified (porcelain) gallbladder, thought to be associated with gallbladder cancer.
		Once the cystic duct is identified, the duct and artery are divided as in standard laparoscopic cholecystectomy and the gallbladder is extracted.
	www.laparoendoscopy.com /lap_chole.htm (2816 words)

	Cholecystectomy - Genesis Health System
		A cholecystectomy is performed to treat cholelithiasis and cholecystitis.
		The laparoscopic cholecystectomy involves the insertion of a long narrow cylindrical tube with a camera on the end, through an approximately 1 cm incision in the abdomen, which allows visualization of the internal organs and projection of this image onto a video monitor.
		If nausea or vomiting are present, a suction tube to empty the stomach may be used, and for laparoscopic procedures, a urinary drainage catheter will also be used to decrease the risk of accidental puncture of the stomach or bladder with insertion of the trocar (a sharp-pointed instrument).
	www.genesishealth.com /conditions/DetailedDisease/000305.aspx (882 words)

	Laparoscopic Cholecystectomy, Gallbladder Removal, Sydney Australia
		Surgical removal of the gallbladder, known as cholecystectomy, is one of the oldest and commonest operations performed.
		Cholecystectomy requires admission to hospital, usually on the day of surgery, and full general anaesthetic.
		In approximately 5% of all cases, cholecystectomy is unable to be performed laparoscopically.
	www.lapsurgeon.com.au /gallbladder_surgery.html (748 words)

	Cholecystectomy Information on Healthline
		Cholecystectomy is used to treat both acute and chronic cholecystitis when there are significant pain symptoms.
		Laparoscopic cholecystectomy is typically preferred over the open surgical approach because of the decreased recovery period.
		The laparoscopic cholecystectomy involves the insertion of a long, narrow cylindrical tube with a camera on the end, through an approximately 0.4 in (1 cm) incision in the abdomen, which allows visualization of the internal organs and projection of this image onto a video monitor.
	www.healthline.com /galecontent/cholecystectomy-1 (663 words)

	Laparoscopy.com - LAPAROSCOPIC CHOLECYSTECTOMY
		Steven Bolton is presenting a case of laparoscopic cholecystectomy.
		An ultrasound study showed gallstones with some thickening of the gallbladder wall.
		The diagnosis of cholecystitis was made and the patient was scheduled to undergo a laparoscopic cholecystectomy.
	www.laparoscopy.com /pictures/lap_chol.html (240 words)

	Laparoscopic Cholecystectomy Surgery Procedure Information on MedicineNet.com
		With laparoscopic cholecystectomy, you may return to work sooner, have less pain after surgery, and have a shorter hospital stay and a shorter recovery time.
		Because the incisions are smaller with laparoscopic cholecystectomy, there isn't as much pain after this operation as after open cholecystectomy.
		Also, during laparoscopic cholecystectomy, the intestines or major blood vessels may be injured when the instruments are inserted into the abdomen.
	www.medicinenet.com /cholecystectomy/article.htm (631 words)

	The National Institutes of Health (NIH) Consensus Development Program: Gallstones and Laparoscopic Cholecystectomy (Site not responding. Last check: )
		The use of laparoscopic cholecystectomy in patients in the first trimester of pregnancy is controversial because of the unknown effects of carbon dioxide pneumoperitoneum on the developing fetus.
		During the course of laparoscopic cholecystectomy, patients in whom the surgeon cannot clearly identify the anatomy of the gallbladder and portal region, in whom bleeding obscures the operative field, or in whom other problems develop during the operation that render laparoscopic cholecystectomy unsafe, should have the procedure converted to an open cholecystectomy.
		Laparoscopic cholecystectomy can be performed at a medical treatment cost equal to or slightly less than that of open cholecystectomy, and with substantial cost savings to the patient and society due to markedly reduced disability (see Table).
	consensus.nih.gov /1992/1992GallstonesLaparoscopy090html.htm (6326 words)

	Medical Malpractice Lawyer - Laparoscopic Cholecystectomy
		Laparoscopic cholecystectomy, or gall bladder removal, is a surgical procedure to remove the gallbladder when inflammation, blockage, gallstones, or cancer is present.
		While laparoscopic cholecystectomy has a shorter hospital stay and better aesthetic results than an open cholecystectomy, laparoscopic cholecystectomy may not be the best choice when more complex cases are presented.
		Performing a laparoscopic cholecystectomy has become an acceptable standard of care for patients that are in need of a cholecystectomy.
	www.medical-malpractice-lawyer.net /laparoscopic/laparoscopic-cholecystectomy.html (402 words)

	BioMed Central \| Full text \| Open cholecystectomy for all patients in the era of laparoscopic surgery - a prospective ...
		Soon after its introduction, laparoscopic cholecystectomy was considered the method of choice for treatment of gallstone disease, and an early consensus conference concluded that it might confer economic advantages over open surgery[1].
		Mini-laparotomy cholecystectomy is usually defined as open cholecystectomy through an incision of 4 to 7 cm[8,13] or less than 6 cm[18].
		Nationwide studies have shown that after the introduction of laparoscopic cholecystectomy 20 to 30% of all gallbladder operations are completed openly, and that patients thus treated are older and have more co-morbidities than patients undergoing laparoscopic cholecystectomy [32-34].
	www.biomedcentral.com /1471-2482/6/5 (3222 words)

	Laparoscopic Cholecystectomy
		Gallbladder surgery is done to treat gallbladder disease such as gallstones, infection or inflammation (cholecystitis), severe abdominal pain due to gallbladder disease and blockage of the bile drainage tubes (biliary obstruction).
		Gallbladder surgery can be done through an abdominal incision (open cholecystectomy) or through several small incisions (laparoscopic cholecystectomy) with a special scope (laparoscope), which is actually a small video camera.
		During a laparoscopic cholecystectomy, surgeons make several small incisions in the abdomen near the navel and pass surgical instruments and a light source with a tiny camera through them.
	www.umm.edu /general_surgery/lap_cholecystectomy.html (656 words)

	Cholecystectomy
		Cholecystectomy is the surgical removal of the gallbladder, a muscular, pear-shaped organ that lies underneath the liver.
		As in open cholecystectomy, if your surgeon suspects you may have a stone blocking the main bile duct, dye may be injected into the duct system, and the duct may be opened to remove any stones located.
		Recovery after open cholecystectomy takes about four to six weeks; depending on your occupation, you may be able to return to work after about a month.
	www.mbmc.org /healthgate/GetHGContent.aspx?token=9c315661-83b7-472d-a7ab-bc8582171f86&chunkiid=42694 (1779 words)

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