RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162530802
T1 Laparoscopic Cholecystectomy
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162530802
RD 2024/04/20
AB The  most  common  indication  for  laparoscopic  cholecystectomy  (LC)  is  symptomatic  cholelithiasis.  Classic  biliary  colic  is  characterized  by  severe  right  upper  quadrant  (RUQ)  postprandial  and  nocturnal  pain  radiating  to  the  right  scapula  and  epigastrium,  associated  with  nausea,  and  an  ultrasound  showing  gallstones.  This  constellation  of  symptoms  and  signs  is  found  in  more  than  50%  of  patients  referred  for  cholecystectomy.  Other  presentations  include  acute  cholecystitis  (fever,  leukocytosis,  RUQ  peritoneal  irritation),  acalculous  cholecystitis,  choledocholithiasis,  cholangitis,  and  biliary  dyskinesia.  It  is  rarely  necessary  to  remove  asymptomatic  gallstones.