Surgery Book

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Cholecystectomy

Aka: Cholecystectomy
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  1. Indications
    1. Biliary Colic
    2. Biliary Dyskinesia
    3. Calcified Gallbladder
    4. Acute Cholecystitis (urgent, perform within 72 hours)
    5. Choledocholithiasis (perform after common duct cleared)
    6. Gallstone Pancreatitis (after Pancreatitis resolves)
  2. Timing of Surgery: Early surgery is safe and preferred
    1. Incidence of technical complications is the same
    2. Reduces total illness duration by 30 days
    3. Hospitalization time reduced by 5-7 days
    4. Direct medical cost savings reduced by > $2000
    5. Death rate slightly lower with early surgery
    6. References
      1. Stevens (2006) Am J Surg 192:756-61
  3. Treatment protocol: Laparoscopy preferred method
    1. Decreased pain and Disability
      1. Much earlier return to work time
      2. Shorter hospital stay (often outpatient)
    2. Lower mortality
      1. Laparoscopic: 8 to 16 per 10,000 patients
      2. Open: 66 to 74 per 10,000 patients
      3. Shea (1996) Ann Surg 224:609-20
    3. Treatment cost slightly less than open Cholecystectomy
    4. Better cosmetic result
  4. Complications
    1. Common Bile duct injury
      1. Laparoscopic: 36 to 47 per 10,000 patients
      2. Open: 19 to 29 per 10,000 patients
      3. Shea (1996) Ann Surg 224:609-20

Cholecystectomy procedure (C0008320)

Definition (MSH) Surgical removal of the GALLBLADDER.
Definition (CSP) surgical removal of the gallbladder.
Definition (NCI) Surgical removal of the gallbladder.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D002763
ICD9 51.22, 51.2
ICD10 965, 30443-00
SnomedCT 149492003, 174500005, 38102005, 119917005
CPT 47600
English Cholecystectomies, Cholecystectomy, CHOLECYSTECTOMY, Excision of gallbladder NOS, gallbladder removal, Cholecystectomy procedure, cholecystectomy (treatment), removal of gallbladder, cholecystectomy, Excision of gallbladder NOS (procedure), cholecystectomies, cholecystectomy procedure, excision of gallbladder, surgical removal of the gallbladder, Removal of gallbladder, Excision of gallbladder, Cholecystectomy (procedure), Gallbladder excision, REMOVAL OF GALLBLADDER, CHOLECSTC
Japanese 胆嚢切除, ﾀﾝﾉｳｾﾂｼﾞｮ
Swedish Gallblåseoperation
Czech cholecystektomie, Cholecystektomie
Spanish Cholecystectomy, colecistectomía (procedimiento), colecistectomía, escisión de la vesícula biliar (concepto no activo), escisión de la vesícula biliar, resección de vesícula biliar, SAI (procedimiento), resección de vesícula biliar, SAI, Colecistectomia, Colecistectomía
Finnish Kolekystektomia
Russian KHOLETSISTEKTOMIIA, ХОЛЕЦИСТЭКТОМИЯ
Croatian KOLECISTEKTOMIJA
Polish Cholecystektomia, Wycięcie pęcherzyka żółciowego
Hungarian Cholecystectomia
Dutch galblaasverwijdering, Cholecystectomie
French Cholécystectomie
German Cholezystektomie
Italian Colecistectomia
Portuguese Colecistectomia
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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