Abstract
Cholelithiasis is a very common disease in the western world (incidence about 10%)1. Many patients (about 80%) do not have symptoms and do not require treatment2. Treatment is indicated only for patients with symptoms or complications of gallstones. Since Langenbuch performed the first cholecystectomy in 1882, this operation has been the treatment of choice for symptomatic gallstone disease for the past century3. In the 1980s gallstone dissolution with bile acids and more lately extracorporeal Shockwave lithotripsy have been introduced for selected patients with cholesterol gallstones4. The advantage of these treatments is a low morbidity and no mortality. Unfortunately treatment modalities other than cholecystectomy have the disadvantage of long-term treatment (more than 1 year), a limited success rate (40–60%) and high recurrence rate (about 50% after 5 years)5,6.
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© 1997 Springer Science+Business Media Dordrecht
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De Wit, L.T., Keulemans, Y., Gouma, D.J. (1997). Laparoscopic cholecystectomy. In: Tytgat, G.N.J., Mulder, C.J.J. (eds) Procedures in Hepatogastroenterology. Developments in Gastroenterology, vol 15. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5702-5_20
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DOI: https://doi.org/10.1007/978-94-011-5702-5_20
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