[The reassessment of indications in laparoscopic cholecystectomy].
The gallstone, with its potentialy complications, claims a surgical solution in asymptomatic forms too, often traced out with the abdominal echography investigations circumstances. In all the countries, the symptomatic gallstone, is a surgicaly section, but, the asymptomatic gallstone is a surgicaly indication in some countries, too. A number of transplantation surgeons have begun to recommend pretransplant cholecystectomy for asymptomatic patients to have gallstones. The indications can be extended to: young children, pregnant women, patients with very large gallstones diabetics, immuno-depressed (AIDS, radiation and multiple drug treatments). The asymptomatic gallstone seems to obtain in the last years, an extention of the surgicaly approach indications, the paper, suggesting a laparoscopic cholecystectomy assessment indications.
Prunoiu
V
V
Clinica I Chirurgie Generală şi Oncologică, Institutul Oncologic Al. Trestioreanu, Bucureşti. virgiliuprunoiu@yahoo.com
Cirimbei
C
C
Daha
C
C
Marincaş
M
M
Straja
D
D
Brătucu
E
E
D017081:Cholecystectomy, Laparoscopic / Q000592:standards; D002769:Cholelithiasis / Q000601:surgery; D042882:Gallstones / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D016896:Treatment Outcome