Rate of elective cholecystectomy and the incidence of severe gallstone disease

Abstract

Background: The use of elective cholecystectomy has increased dramatically following the widespread adoption of laparoscopic cholecystectomy. We sought to determine whether this increase has resulted in a reduction in the incidence of severe complications of gallstone disease. (RR 0.82,. Interpretation: The increase in the rate of elective cholecystectomy that occurred following the introduction of laparoscopic cholecystectomy in 1991 was associated with an overall reduction in the incidence of severe gallstone disease that was entirely attributable to a reduction in the incidence of acute cholecystitis.

Postoperative Pulmonary Function in Open versus Laparoscopic Cholecystectomy: A Meta-Analysis of the Tiffenau Index

“…The introduction of laparoscopic cholecystectomy induced a significant growth in cholecystectomy rates [2, 3]. …”

Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks

“…Laparoscopic cholecystectomy (CCY) is increasingly preferred over open cholecystectomy for the treatment of symptomatic gallstone disease [1,2]. Iatrogenic bile leaks still occur in up to 2% of cases [3,4].…”

A Prospective Study on Different Biliary Diversions in Common Bile Duct Stones

“…Biliary diversions are the main stay of treatment. [3] Controversy still exists regarding the appropriate biliary diversion procedure. Non operative procedures have been considered in a non-dilated duct and are associated with complications like bleeding, pancreatitis, cholangitis and duodenal perforation .Late complications are more associated with non-operative techniques.…”

“…Biliary tract has been well described by many authors. [2][3][4][5][6] Common bile duct stones may be primary or secondary. Primary stones are brown pigment stones formed in the CBD and biliary tree.…”