RT Journal Article
SR Electronic
T1 What are the indications for cholecystectomy?
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 40
OP 47
VO 57
IS 1
A1 John R. Potts III
YR 1990
UL http://www.ccjm.org/content/57/1/40.abstract
AB Cholecystectomy is indicated in the presence of gallbladder trauma, gallbladder cancer, acute cholecystitis, and other complications of gallstones. More controversial are the indications for elective cholecystectomy. To properly determine the indications for elective cholecystectomy, the risk of the operation (taking into account the age and comorbid factors of the individual patient) must be weighed against the risk of complications and death without operation (taking into account the symptomatic status of the individual and the functional status of the gallbladder). Cholecystectomy (or some other form of gallstone therapy) is indicated in most patients with symptomatic cholelithiasis—especially those with non-functioning gallbladders. Cholecystectomy is not indicated in most patients with asymptomatic stones.