Concept: When to Remove the Gallbladder
Despite the potential risk of surgical errors, which may produce complications of a horrendous nature, cholecystectomy in the hands of a skilled surgical team is followed by a remarkably low mortality rate. In a review of 1,100 cholecystectomies without common bile duct (CBD) exploration performed (1969–1980) for nonmalignant gallbladder disease, including acute cholecystitis, by the residents and staff of the Booth Memorial Medical Center in Flushing, New York, the hospital mortality was 0.25%. Martin and van Heerden reported a 0.3% rate for 586 cholecystectomies for chronic cholecystitis and 2.1% for acute cholecystitis. McSherry and Glenn found a 0.5% hospital mortality rate following cholecystectomy for chronic disease of the biliary tract; in patients under age 50 the mortality rate was 0.1 %, while those over age 50 experienced a rate of 0.9%.
KeywordsAcute Pancreatitis Common Bile Duct Cystic Duct Acute Cholecystitis Common Bile Duct Stone
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