Minimally Invasive Centre - Union Hospital Minimally Invasive Centre, Union Minimally Invasive Centre, Minimally Invasive Centre, Minimally Invasive Surgery, 仁安醫院微創中心,仁安微創中心,微創中心, Cardiothoracic Surgery, Gastroenterology & Hepatology, General Surgery, Orthopedics & Traumatology, Otorhinolaryngology, Urology, Paediatric Surgery & Paediatric Urological Surgery, Neurosurgery, Rheumatology, Oncology, 微創手術,微創,心胸肺外科,小兒外科,小兒泌尿科,腸胃肝臟科,外科,耳鼻喉科,神經外科,風濕科,腫瘤科,泌尿科,,乙型肝炎,丙型肝炎,肝硬化,肝纖維化掃描,關節痛,胃鏡,腸鏡,膠囊內視鏡,耳鳴,聲沙,骨質疏鬆,痛風,關節炎,類風濕關節炎,多汗,肝癌,腸癌,肛裂,痔瘡,乳癌,疣,闌尾炎,膽石,靜脈曲張,小腸氣,腸套疊,失禁,割包皮,椎間盤突出,骨科 ,腰背痛,風濕病,強直性背脊椎炎,外耳道炎,中耳炎,纖維鼻咽喉鏡,骨折,脫骹,十字韌帶,半月板,關節置換,坐骨神經痛,腸易激綜合症,大腸癌,胃痛

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Minimally Invasive Centre - Union Hospital Minimally Invasive Centre, Union Minimally Invasive Centre, Minimally Invasive Centre, Minimally Invasive Surgery, 仁安醫院微創中心,仁安微創中心,微創中心, Cardiothoracic Surgery, Gastroenterology & Hepatology, General Surgery, Orthopedics & Traumatology, Otorhinolaryngology, Urology, Paediatric Surgery & Paediatric Urological Surgery, Neurosurgery, Rheumatology, Oncology, 微創手術,微創,心胸肺外科,小兒外科,小兒泌尿科,腸胃肝臟科,外科,耳鼻喉科,神經外科,風濕科,腫瘤科,泌尿科,,乙型肝炎,丙型肝炎,肝硬化,肝纖維化掃描,關節痛,胃鏡,腸鏡,膠囊內視鏡,耳鳴,聲沙,骨質疏鬆,痛風,關節炎,類風濕關節炎,多汗,肝癌,腸癌,肛裂,痔瘡,乳癌,疣,闌尾炎,膽石,靜脈曲張,小腸氣,腸套疊,失禁,割包皮,椎間盤突出,骨科 ,腰背痛,風濕病,強直性背脊椎炎,外耳道炎,中耳炎,纖維鼻咽喉鏡,骨折,脫骹,十字韌帶,半月板,關節置換,坐骨神經痛,腸易激綜合症,大腸癌,胃痛

Cholecystectomy

10-15 % Americans had gall stone disease, Incidence lower in Asian
One of the commonest gastrointestinal diseases that requires hospitalization

Risk factors
- Age: incidence increases with age
- Sex: female prevalence
- Obesity
- Drugs: estrogen or clofibrate
- Diabetes
- Previous GI Surgery
Symptoms
- 70% asymptomatic
- 30% symptoms
- biliary pain
- acute cholecystitis
- common bile duct stone
- pancreatitis
- cholangitis
- Mirizzi’s syndrome
- Gall stone ileus
Diagnostic tests
- laboratoyr test
- plain x-ray
- ultrasonography
- CT scan
- MR-cholangiogram
Treatment
Medical
- Pain relief
- Antibiotics
- Oral dissolution therapy
Surgical
- Definitive treatment
Laparoscopic Cholecystectomy
- Conversion rate 2-3% (emergency case – 15%)
- Complication : Bile duct injury less than 1 %
- Compares with Open Cholecystectomy
- Less pain
- Shorter recovery time
- Less wound and scar complications


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