Meaning of CHOLECYSTECTOMY
| Pronunciation: | | `kâlisi'stektumee
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 WordNet Dictionary |
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| | Definition: | | [n] surgical removal of the gall bladder (usually for relief of gallstone pain) |
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| | See Also: | | ablation, cutting out, excision, extirpation, lap choly, laparoscopic cholecystectomy | |
| Medical Dictionary |
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| | Definition: | | Surgical removal of the gallbladder. |
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| Biology Dictionary |
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- Surgical removal of the gallbladder.
- This is surgery to remove the gallbladder. Cholecystectomy is indicated for patients with gallstones that cause severe symptoms. If the stones are less than 1 cm in diameter and contain no calcium, dissolution therapy with ursodeoxycholic acid is successful in 50% of the cases at six months of therapy. Shock-wave treatment (extracorporeal shock-wave lithotripsy) is applicable in only about 7% of the patients (with less than 3 stones, total stone diameter less than 20 mm and stone volume less than 15 mL). Only 50% of patients receiving shock-wave therapy have relief of their symptoms.
For patients with medical problems severe enough to contraindicate immediate cholecystectomy, percutaneous catheter cholecystostomy may be preferable. For these patients, cholecystecomy can be performed after their general medical condition improves. The operative death rate 0.1% in patient under age 50 and 0.5% in patients over 50. Most deaths occur in patients who have other preoperative medical problems. Delaying cholecystectomy when indicated increases the chance of cholangitis, acute pancreatitis (inflammation of the pancreas), empyema and perforation of the gallbladder, gallstone ileus and common bile duct obstruction.
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