Which of the following are indications for cholecystectomy?
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.
What are the indications for laparoscopic cholecystectomy?
- Cholecystitis (Acute/Chronic)
- Symptomatic cholelithiasis.
- Biliary dyskinesia- hypofucntion or hyperfunction.
- Acalculous cholecystitis.
- Gallstone pancreatitis.
- Gallbladder masses/polyps.
What is the indication for cholecystitis?
Signs and symptoms of cholecystitis may include: Severe pain in your upper right or center abdomen. Pain that spreads to your right shoulder or back. Tenderness over your abdomen when it’s touched.
When is cholecystectomy needed for acute cholecystitis?
In patients with acute cholecystitis who cannot undergo early laparoscopic cholecystectomy (within 72 hours), 6 weeks to 12 weeks after onset is widely considered the optimal timing for delayed laparoscopic cholecystectomy. However, there has been no clear consensus about it.
What are the complications of cholecystectomy?
Removal of the gallbladder (cholecystectomy) is considered a relatively safe procedure, but like all operations there’s a small risk of complications.
- Bile leakage.
- Injury to the bile duct.
- Injury to the intestine, bowel and blood vessels.
- Deep vein thrombosis.
- Risks from general anaesthetic.
What is the best antibiotic for gallbladder?
The current Sanford guide recommendations include piperacillin/tazobactam (Zosyn, 3.375 g IV q6h or 4.5 g IV q8h), ampicillin/sulbactam (Unasyn, 3 g IV q6h), or meropenem (Merrem, 1 g IV q8h). In severe life-threatening cases, the Sanford Guide recommends imipenem/cilastatin (Primaxin, 500 mg IV q6h).
Is a cholecystectomy urgent?
Guidelines from the World Society of Emergency Surgery (WSES) recommend that early laparoscopic cholecystectomy should be performed as soon as safely possible but can be performed up to 10 days from symptom onset .
Why is cholecystectomy delayed?
Although there is a recent trend toward early laparoscopic cholecystectomy (eLC), that is, within 72 hours of symptom onset, some surgeons still prefer delayed operations, or operations after several weeks, expecting subsidence of the inflammation and therefore a higher chance of avoiding open conversion and minimizing …
What are indications for A cholecystostomy?
The most common indication for performing an Open Cholecystectomy is symptomatic gallstones causing pain (biliary colic). Other indications include: Choledocholithiasis: A condition, wherein the gallstone travels out of the gallbladder and blocks the common bile duct, preventing the flow of bile into the small bowel.
What are the risks to a cholecystectomy?
Bile leaking in the body.
What are the side effects of cholecystectomy?
Abdominal Pain: This is one of the most common side effects of cholecystectomy and it lasts for the first few days. This occurs mainly because the organs of the abdominal cavity are shifted during surgery and some minor bruising may have taken place in the process.
Are there long term complications for a cholecystectomy?
Most of the complications and risks carried by cholecystectomy are minimal and can be reversed or fixed. Long term complications are minimal , but very detailed in nature. The most serious complication that is encountered during and after the cholecystectomy is damage inflicted to the bile ducts .