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Volume 3 Issue 4 (October - December, 2015)

Review Articles

LAPAROSCOPIC CHOLECYSTECTOMY IN THE TREATMENT OF CHOLECYSTITIS- A REVIEW ARTICLE
Prakash Galani

Gallbladder-related disease is now one of the commonest indications for elective and emergency surgery. Management of cholecystitis and its complications has evolved dramatically. Laparoscopic cholecystectomy is the standard treatment for symptomatic gall stone disease. The first open cholecystectomy was performed by Carl Langenbuch in 1882, who believed in the theory that the gallbladder needed to be removed not because it had gallstones, but because it was “sick”. After that, the technique was popularized through large incisions. Despite these advances, significant variability in approaches to care and outcomes in gall-bladder disease management are reported. Surgeons should be aware that the subgroup of patients whose preoperative symptoms include bloating, regurgitation and glubus sensation and who have required psychotrophic drugs may in fact have 'silent gall stones' and irritable bowel syndrome. Such patients are unlikely to benefit from laparoscopic cholecystectomy.
Key Words: Cholecystectomy, Laparoscopic, Surgeons, Treatment

 
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