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Review
. 1993 Nov 13;307(6914):1266-9.
doi: 10.1136/bmj.307.6914.1266.

General surgery: biliary surgery

R C Russell  1
Affiliations
Review

General surgery: biliary surgery

R C Russell. BMJ. .

Abstract

The management of biliary tract disease has changed completely as a result of minimally invasive treatment. For most patients with gallstones that cause symptoms a laparoscopic cholecystectomy will treat the condition with minimal morbidity and a short recovery period. If complications are encountered, conversion to a mini-cholecystectomy gives results that are nearly as good. Acute cholecystitis can be treated by percutaneous drainage followed either by percutaneous cholecystolithotomy or a laparoscopic cholecystectomy. Gallstones in the bile duct are best treated by endoscopic sphincterotomy with duct clearance. The day of the large cholecystectomy scar with its subsequent incisional hernia has gone.

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