Laparoscopic Cholecystectomy | Gastrointestinal Surgery

Laparoscopic cholecystectomy, also known as minimally invasive cholecystectomy, is performed through 4 small incisions with use of a camera ... LaparoscopicCholecystectomy|GastrointestinalSurgery|JAMA|JAMANetwork Ourwebsiteusescookiestoenhanceyourexperience.Bycontinuingtouseoursite,orclicking"Continue,"youareagreeingtoourCookiePolicy | Continue [SkiptoNavigation] Trending AssociationBetweenIsolatedDiastolicHypertensionDefinedbythe2017ACC/AHABloodPressureGuidelineandIncidentCVD OriginalInvestigation January28,2020 NoninvasivePositivePressureVentilationandClinicalOutcomesinChronicObstructivePulmonaryDisease OriginalInvestigation February4,2020 SelectYourInterests CustomizeyourJAMANetworkexperiencebyselectingoneormoretopicsfromthelistbelow. 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Bileisfluidmadebytheliverandreleasedintothesmallintestinetohelpdigestion.Changesinbileconcentrationandcompositioncausedbychangesindiet,hormones,medications,orrapidweightlossorweightgaincanresultinformationofsolidpiecesofbilecalledgallstones.IntheUnitedStates,morethan6millionmenand14millionwomenhavehadgallstonedisease,withhigherratesinNativeandHispanicAmericans.Asmallportionofpeoplewithgallstonesmayexperienceoccasionalabdominalpain,nausea,andvomiting,oftenaftermeals. Gallstonescansometimesmigrateoutofthegallbladder,blockthenormalflowofbile,andleadtoinflammationandinfectionofthegallbladder.Thisiscalledcholecystitisandcancausesharp,constantabdominalpain,fever,nausea,andvomiting.Thesesymptomswarrantavisittoaphysician,whocanarrangeforanultrasoundandmakeareferraltoasurgeonifappropriate. Gallstonesdonotneedtobetreatediftheyarenotcausingproblems.Patientswhohavecholecystitisorarebotheredbysymptomsofgallstonesaretreatedwithsurgicalremovalofthegallbladder,knownascholecystectomy.Laparoscopiccholecystectomy,alsoknownasminimallyinvasivecholecystectomy,isperformedthrough4smallincisionswithuseofacameratovisualizetheinsideoftheabdomenandlongtoolstoremovethegallbladder.Surgeryisdoneunderanesthesia,andpatientsareasleepthroughouttheentireprocedure. Mostpatientsgohomeonthedayoforthedayaftersurgery.Patientscanreturntoeatingtheirusualmealsathome.Mildtomoderatepainiscommonforafewdaysandcanbemanagedwithpainmedicationsasprescribed.Dressingsontheincisionscantypicallyberemovedthedayaftersurgery,atwhichtimepatientscanresumeregularshowers,butsomeincisionsmayrequirespecialcareasinstructedbythesurgeon.Afewpeoplemayexperiencediarrheaaftercholecystectomy,whichgoesawayafterafewweeksormonthsinmostpeople. Complicationsafterlaparoscopiccholecystectomyarerarebutcanbeseriouswhenstructuresnearthegallbladderaredamaged.Oneofthesestructuresisthecommonbileduct,whichisthemaintubethatdrainsbilefromtheliverandgallbladdertothesmallintestine.Damagetothecommonbileductorotherbiliaryductscancauseleakageorobstructionofbileflowandhassymptomsofabdominalpain,fever,andyellowingofskin,knownasjaundice.Thesesymptomscanalsobecausedbyagallstonethatisleftbehindinthebileduct.Bleedingfromabloodvesselnearthegallbladdercansometimesoccur.Mostbleedingstopsonitsown,butrarely,persistentbleedingrequiresintervention.Aftercholecystectomy,patientswhoexperienceworseningpain,fever,chills,nausea,vomiting,orjaundiceshouldseeadoctor. BoxSectionRefIDForMoreInformationPubMedHealthwww.ncbi.nlm.nih.gov/pubmedhealth/PMHT0025032/TofindthisandotherJAMAPatientPages,gototheForPatientscollectionatjamanetworkpatientpages.com. TheJAMAPatientPageisapublicserviceofJAMA.Theinformationandrecommendationsappearingonthispageareappropriateinmostinstances,buttheyarenotasubstituteformedicaldiagnosis.Forspecificinformationconcerningyourpersonalmedicalcondition,JAMAsuggeststhatyouconsultyourphysician.Thispagemaybephotocopiednoncommerciallybyphysiciansandotherhealthcareprofessionalstosharewithpatients.Topurchasebulkreprints,call312/464-0776. Backtotop ArticleInformation ConflictofInterestDisclosures:TheauthorshavecompletedandsubmittedtheICMJEFormforDisclosureofPotentialConflictsofInterestandnonewerereported.Source:SheffieldKM,RiallTS,HanY.Associationbetweencholecystectomywithvswithoutintraoperativecholangiographyandriskofcommonductinjury.JAMA.2013;310(8):812-820. Topic:AbdominalSurgery SeeMoreAbout JAMAPatientInformationMinimallyInvasiveSurgeryPatientInformationGastrointestinalSurgeryHepatobiliarySurgerySurgery DownloadPDF Cite This Citation KimSS,DonahueTR.LaparoscopicCholecystectomy.JAMA.2018;319(17):1834.doi:10.1001/jama.2018.3438 Downloadcitationfile: Ris(Zotero) EndNote BibTex Medlars ProCite RefWorks ReferenceManager Mendeley ©2022 Permissions CoronavirusResourceCenter OthersAlsoLiked X . × Accessyoursubscriptions Signin|personalaccount Accessthroughyourinstitution Addorchangeinstitution Freeaccesstonewlypublishedarticles Createafreepersonalaccount Toregisterforemailalerts,accessfreePDF,andmore Purchaseaccess Subscribetojournal Getfulljournalaccessfor1year Buyarticle GetunlimitedaccessandaprintablePDF($40.00)— Signinorcreateafreeaccount Rentarticle RentthisarticlefromDeepDyve Accessyoursubscriptions Signin|personalaccount Accessthroughyourinstitution Addorchangeinstitution Freeaccesstonewlypublishedarticles Createafreepersonalaccount Toregisterforemailalerts,accessfreePDF,andmore Purchaseaccess Subscribetojournal Getfulljournalaccessfor1year Buyarticle GetunlimitedaccessandaprintablePDF($40.00)— Signinorcreateafreeaccount Rentarticle RentthisarticlefromDeepDyve SignintoaccessfreePDF Signin|personalaccount Accessthroughyourinstitution Addorchangeinstitution Freeaccesstonewlypublishedarticles Createafreepersonalaccount Toregisterforemailalerts,accessfreePDF,andmore Saveyoursearch Signin|personalaccount Freeaccesstonewlypublishedarticles Createafreepersonalaccount Toregisterforemailalerts,accessfreePDF,andmore Purchaseaccess Subscribenow Customizeyourinterests Signin|personalaccount Freeaccesstonewlypublishedarticles Createafreepersonalaccount Toregisterforemailalerts,accessfreePDF,andmore Createapersonalaccountorsigninto: Registerforemailalertswithlinkstofreefull-textarticles AccessPDFsoffreearticles Manageyourinterests Savesearchesandreceivesearchalerts PrivacyPolicy Makeacomment Signin|personalaccount Freeaccesstonewlypublishedarticles Createafreepersonalaccount Toregisterforemailalerts,accessfreePDF,andmore Createapersonalaccountorsigninto: Registerforemailalertswithlinkstofreefull-textarticles AccessPDFsoffreearticles Manageyourinterests Savesearchesandreceivesearchalerts PrivacyPolicy