[Laparoscopic cholecystectomy--a never-ending success story?].
Today, laparoscopic cholecystectomy is the most commonly used surgical laparoscopic intervention. The surgeon must familiarize himself with the patient's biliary anatomy using appropriate imaging techniques. Prior to the intervention, an esophago-gastro-duodenoscopy is performed to exclude a florid ulcer. The most serious complication is an unrecognized injury to the common bile or hepatic duct. Intra-operative bleeds can usually be managed endoscopically. If the pathologist diagnoses a gallbladder carcinoma the patient must undergo appropriate staging and a conventional revision procedure (removal of any metastases that might be present and resection of the gallbladder bed).
Welter
F H
FH
Klinik am Zuckerberg, Braunschweig, und Eilenriedeklinik, Hannover. heiner.welter@freenet.de
D017081:Cholecystectomy, Laparoscopic; D000075202:Contraindications; D005706:Gallbladder Neoplasms / Q000601:surgery; D006801:Humans; D010353:Patient Education as Topic; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D012086:Reoperation; D012307:Risk Factors