title: Technical aspects of cholecystectomy.
abstract: The gold standard for the surgical treatment of symptomatic cholelithiasis is conventional laparoscopic cholecystectomy (LC). Although it has been associated with a slightly higher incidence of bile duct injury (BDI) in comparison with open cholecystectomy (OC), LC is considered a very safe operation. Prevention of BDI should be routinely performed in every LC. Recent trends include the performance of cholecystectomy through a single incision and NOTES (Natural Orifice Transluminal Endoscopic Surgery). However, lack of evidence of clinical advantages prevents their widespread adoption, and more data are needed to assess whether their use is warranted.
authors.affiliation: Division of Gastrointestinal Surgery, University of Buenos Aires, Vicente Lopez 1831 PB, Buenos Aires 1128, Argentina.
authors.forename: Alberto R
authors.initials: AR
authors.lastname: Ferreres
authors.affiliation: Hepatobiliary and Pancreas Program, General Surgery, Mayo College of Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA. Electronic address: asbun.horacio@mayo.edu.
authors.forename: Horacio J
authors.initials: HJ
authors.lastname: Asbun
mesh_terms: D001652:Bile Ducts / Q000293:injuries; D002758:Cholangiography / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation / Q000379:methods*; D061887:Conversion to Open Surgery; D004210:Dissection / Q000379:methods; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D057605:Natural Orifice Endoscopic Surgery / Q000295:instrumentation / Q000379:methods; D010347:Patient Care Planning; D018579:Patient Selection; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods; D013525:Surgical Instruments; D000267:Tissue Adhesions / Q000601:surgery; D058106:Wound Closure Techniques
keywords: Alternative approaches; Cholecystectomy; Laparoscopy; Natural orifice transluminal endoscopic surgery; Single-incision laparoscopy