Indications of cholecystectomy
Can anyone remove his gallbladder? Patients elected to remove their gall bladder should need to get their gallbladder removed otherwise the surgery won’t be useful. Indications of both open cholecystectomy and LC are the same and they are subjected to the surgeon’s decision which is mostly based on the recurrence and severity of the condition. These indications include:
- Symptomatic gallstone which is called cholelithiasis is the most common indication for cholecystectomy. Asymptomatic gallstone is not considered an indication for surgery because it may be resolved on its own or by medications. It is still controversial whether gallstones causing mild symptoms should be removed surgically or not. However, surgeons believe that if the gallstone is more than 2.5 cm in diameter, the gall bladder should be removed. Gallstones isn’t a fatal condition but it may result in secondary bacterial infections which could be serious, moreover, the gallstones recurrence rate is high especially in women.
- Cholecystitis is inflammation of the gall bladder. Acute and chronic cholecystitis are indications for gall bladder removal. Cholecystitis could occur due to multiple causes. gall stones and bile duct obstructions are the most reported causes of cholecystitis.
- Gallbladder tumors or liver tumor invaded gallbladder are both indications for cholecystectomy. Although malignancies don’t often rise from the gallbladder, the liver is a common site for metastasis. Most gallbladder tumors are benign but they may turn malignant anytime, therefore, doctors don’t prefer to risk it but they recommend cholecystectomy. Gallstones are reported to be a major risk factor for gallbladder tumors.
- Biliary dyskinesia is a functional disorder in which the motility of the gall bladder is impaired leading to stagnation of bile in it. Biliary dyskinesia is considered a rare condition but still an indication for cholecystectomy. it is commonly presented with a typical gall bladder pain that may radiate to the right shoulder. The exact cause of biliary dyskinesia is still unclear but doctors assume it is neurological or dopamine-related.
