Skip to main content

Part of the book series: Developments in Gastroenterology ((DIGA,volume 15))

  • 103 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Thijs C, Knipschild P, Van Engelshoven J. The prevalence of gallstone disease in a Dutch population. Scand J Gastroenterol. 1990;25:155–160.

    Article  PubMed  CAS  Google Scholar 

  2. Gibney EJ. Asymptomatic gallstones. Br J Surg. 1990;77:368–372.

    Article  PubMed  CAS  Google Scholar 

  3. Gilliland TM, Traverso LW. Modern standards for comparison of cholecystectomy with alternative treatments for symptomatic cholelithiasis with emphasis on long term relief of symptoms. Surg Gynaecol Obstet. 1990;170:39–44.

    CAS  Google Scholar 

  4. Vergunst H, Terpstra OT, Brakel K, Lameris JS, Van Blankenstein M, Schroder FH. Extracorporeal Shockwave lithotrypsy of gallstones. Possibilities and limitations. Ann Surg. 1989;210:565–575.

    Article  PubMed  CAS  Google Scholar 

  5. Darzi A, Leahy A, O’Morian C, Tanner WA, Keane FBV. Gallstone clearance. A randomized study of extracorporeal shock wave lithotrypsy and chemical dissolution. Br J Surg. 1990;77:1265–1267.

    Article  PubMed  CAS  Google Scholar 

  6. Go PMNYH, Stolk MFJ, Obertop H et al Symptomatic gallbladder stones. Cost-effectiveness of treatment with extracorporeal shock-wave lithotripsy, conventional and laparoscopic cholecystectomy. Surg Endosc. 1995;9:37–41.

    Article  PubMed  CAS  Google Scholar 

  7. Johnston DE, Kaplan MM. Pathogenesis and treatment of gallstones. N Engl J Med. 1993; 328:412–421.

    Article  PubMed  CAS  Google Scholar 

  8. Berggren U, Gordh T, Grama D, Haglund U, Rastad J, Arvidsson D. Laparoscopic versus open cholecystectomy: hospitalization, sick leave, analgesia and trauma responses. Br J Surg. 1994;81: 1362–1365.

    Article  PubMed  CAS  Google Scholar 

  9. Fiorello MA, Davidson PG, Fiorello M, D’Anna JA Jr, Sithian N, Silich RJ. 149 ambulatory laparoscopic cholecystectomies. Surg Endosc. 1996;10:52–56.

    Article  Google Scholar 

  10. Prasad A, Foley RJE. Day case laparoscopic cholecystectomy: a safe and cost effective procedure. Eur J Surg. 1996;162:43–46.

    PubMed  CAS  Google Scholar 

  11. Rademaker BM, Ringers J, Odoom J, de Wit LT, Kalkman CJ, Oosting J. Pulmonary function and stress response after laparoscopic cholecystectomy: comparison with subcostal incision and influence of thoracic epidural analgesia. Anest Anaig. 1992;75:381–385.

    CAS  Google Scholar 

  12. Davidoff AM, Pappas TN, Murray EA et al. Mechanisms of major biliary injury during laparoscopic cholecystectomy. Ann Surg. 1992;215:196–202.

    Article  PubMed  CAS  Google Scholar 

  13. Ringers J, Rauws EA, de Wit LT, Van der Heyde MN. [Laparoscopic cholecystectomy and bile duct lesions] Laparoscopische cholecystectomie an galweglaesies. Ned Tijdschr Geneesk. 1992;136:971–973.

    CAS  Google Scholar 

  14. Perissat J, Huibregtse K, Keane FBV, Rüssel RCG, Neoptolemos JP. Management of bile duct stones in the era of laparoscopic cholecystectomy. Br J Surg. 1994;81:799–810.

    Article  PubMed  CAS  Google Scholar 

  15. Go PMNYH, Schol F, Gouma DJ. Laparoscopic cholecystectomy in the Netherlands. Br J Surg. 1993;80:1180–1183.

    Article  PubMed  CAS  Google Scholar 

  16. Sawyers JL. Current status of conventional (open) cholecystectomy versus laparoscopic cholecystectomy. Editorial. Ann Surg. 1996;223:1–3.

    Article  CAS  Google Scholar 

  17. Bergman JJGHM, van den Brink GR, Rauws EAJ et al Treatment of bile duct lesions after laparoscopic cholecystectomy. Gut. 1996;38:141–148.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-5702-5_20

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6488-0

  • Online ISBN: 978-94-011-5702-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics