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Asymptomatic gallstones in the laparoscopic era.
J R Coll Surg Edinb 2002; 47(6):742-8JR

Abstract

Recent introduction of new treatment options has significantly altered the approach towards gallstone management. There is now general agreement that cholecystectomy is the treatment of choice for symptomatic gallstones. Controversy, however, exists as to the management of asymptomatic gallstones. The ready availability of abdominal ultrasonography for the investigation of a wide range of abdominal symptoms has resulted in the increased diagnosis of asymptomatic gallstones. Management of such accidentally discovered gallstones poses a dilemma as conclusive evidence of the benefits of cholecystectomy is lacking. This is further complicated by the fact that the majority of asymptomatic gallstones remain so and patients rarely experience symptoms or complications. Furthermore, cholecystectomy is associated with a low but recognised morbidity. Recent introduction of laparoscopic cholecystectomy as the treatment of choice of symptomatic gallstones has further complicated the issue of asymptomatic gallstone management. This article reviews the current management of asymptomatic gallstones in the era of laparoscopic cholecystectomy

Authors+Show Affiliations

Department of Surgery, Dammam Central Hospital, Dammam, Eastern Province, Saudi Arabia.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12510966

Citation

Meshikhes, A W.. "Asymptomatic Gallstones in the Laparoscopic Era." Journal of the Royal College of Surgeons of Edinburgh, vol. 47, no. 6, 2002, pp. 742-8.
Meshikhes AW. Asymptomatic gallstones in the laparoscopic era. J R Coll Surg Edinb. 2002;47(6):742-8.
Meshikhes, A. W. (2002). Asymptomatic gallstones in the laparoscopic era. Journal of the Royal College of Surgeons of Edinburgh, 47(6), pp. 742-8.
Meshikhes AW. Asymptomatic Gallstones in the Laparoscopic Era. J R Coll Surg Edinb. 2002;47(6):742-8. PubMed PMID: 12510966.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Asymptomatic gallstones in the laparoscopic era. A1 - Meshikhes,A W, PY - 2003/1/4/pubmed PY - 2003/1/29/medline PY - 2003/1/4/entrez SP - 742 EP - 8 JF - Journal of the Royal College of Surgeons of Edinburgh JO - J R Coll Surg Edinb VL - 47 IS - 6 N2 - Recent introduction of new treatment options has significantly altered the approach towards gallstone management. There is now general agreement that cholecystectomy is the treatment of choice for symptomatic gallstones. Controversy, however, exists as to the management of asymptomatic gallstones. The ready availability of abdominal ultrasonography for the investigation of a wide range of abdominal symptoms has resulted in the increased diagnosis of asymptomatic gallstones. Management of such accidentally discovered gallstones poses a dilemma as conclusive evidence of the benefits of cholecystectomy is lacking. This is further complicated by the fact that the majority of asymptomatic gallstones remain so and patients rarely experience symptoms or complications. Furthermore, cholecystectomy is associated with a low but recognised morbidity. Recent introduction of laparoscopic cholecystectomy as the treatment of choice of symptomatic gallstones has further complicated the issue of asymptomatic gallstone management. This article reviews the current management of asymptomatic gallstones in the era of laparoscopic cholecystectomy SN - 0035-8835 UR - https://www.unboundmedicine.com/medline/citation/12510966/Asymptomatic_gallstones_in_the_laparoscopic_era_ L2 - https://medlineplus.gov/gallstones.html DB - PRIME DP - Unbound Medicine ER -