title: [Laparoscopic cholecystectomy is the current standard intervention].
abstract: In the case of gallstone disease a differentiation is made between uncomplicated symptomatic cholecystolithiasis and acute cholecystitis. In either condition, differentiation may be rendered more complicated by the simultaneous presence of choledocholithiasis. Today, the standard intervention for the removal of the gallbladder is the laparoscopic modality. Early laparoscopic cholecystectomy is now the regular approach, since the former practice (antibiotic therapy and surgery in the inflammation-free interval) led to a considerable delay, which was often accompanied by massive intra-abdominal adhesions and which resulted in an increase in the conversion rate.
authors.affiliation: Abteilung Allgemein- und Viszeralchirurgie Chirurgische Universitätsklinik Freiburg. Imdahl@Chir.UKL.uni-Freiburg.de
authors.forename: Andreas
authors.initials: A
authors.lastname: Imdahl
mesh_terms: D000328:Adult; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000191:economics / Q000592:standards*; D017046:Cost Savings / Q000191:economics; D003937:Diagnosis, Differential; D005260:Female; D042882:Gallstones / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D010149:Postoperative Pain / Q000209:etiology; D010183:Pancreatic Ducts / Q000473:pathology / Q000601:surgery