|Discussion in 'All Categories' started by vincent - Jun 22nd, 2011 8:21 am.|
|CT scan shows gall stones with the biggest one at 25mm. However, feel no pain or symstom and am at 55 years old now. Doctor advice for gall bladder removal via laparoscopic surgery. With no symstoms now do I really need surgery to removal gall bladder?|
re: gall bladder stones by Dr Sadhana - Jun 22nd, 2011 12:47 pm
Recent introduction of recent treatment options has significantly altered the approach towards gallstone management. There is now general agreement that cholecystectomy is the management of option for symptomatic gallstones. Controversy, however, exists as to the control over asymptomatic gallstones. The ready availability of abdominal ultrasonography for the investigation of a number of abdominal symptoms has resulted in the elevated diagnosis of asymptomatic gallstones. Control over such accidentally discovered gallstones poses a dilemma as conclusive evidence of the benefits of cholecystectomy is lacking. This is further complicated because nearly all asymptomatic gallstones remain so and patients rarely experience symptoms or complications. Furthermore, cholecystectomy is assigned to a low but recognised morbidity. Recent introduction of laparoscopic cholecystectomy because the management of selection of symptomatic gallstones has further complicated the problem of asymptomatic gallstone management. This short article looks at the current management of asymptomatic gallstones within the era of laparoscopic cholecystectomy.
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