discloses gallstones

Discussion in 'MRCS Forum' started by Lona., Apr 4, 2008.

  1. Lona.

    Lona. Guest

    A patient’s persistent right upper quadrant pain prompts an ultrasound examination, which discloses gallstones. The operative approach is discussed during an office visit. Laparoscopic cholecystectomy is indicated for symptomatic gallstones in which of the following conditions?

    a- Cirrhosis
    b- Prior upper abdominal surgery
    c- Suspected carcinoma of the gallstones
    d- Morbid obesity
    e- Coagulopathy
  2. Lona.

    Lona. Guest

    Answer: d. (Zinner, 10/e, pp 1855-1865) Laparoscopic cholecystectomy is now viewed as the treatment of choice for most patients with symptomatic gallstones. This procedure has frequently been performed in obese patients with the same efficiency, morbidity and mortality rates, and length of hospitalization as the average-weight population. The other conditions listed represent currently accepted relative contraindications, but, as experience increases and techniques improve, the safe indications for laparoscopic cholecystectomy are likely to expand.

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