Clinical decision-making in the management of gallstones:a re-exploration from indication to surgical options
10.7659/j.issn.1005-6947.250061
- VernacularTitle:胆囊结石处理的临床决策:从适应证到术式选择的再探索
- Author:
Jiannan ZHAO
1
;
Yang LIU
1
;
Xiang WANG
1
;
Yongjie ZHANG
1
Author Information
1. 中国人民解放军海军军医大学第三附属医院 胆道二科,上海 200433
- Publication Type:Journal Article
- Keywords:
Gallstones;
Cholecystectomy;
Cholecystolithiasis;
Postcholecystectomy Syndrome
- From:
Chinese Journal of General Surgery
2025;34(2):245-252
- CountryChina
- Language:Chinese
-
Abstract:
Gallstones are the primary benign disease diagnosed and treated in biliary surgery.With the development of medical technology and the increasing awareness of health among the population,the detection rate of gallstones has been increasing annually,with the majority being asymptomatic or mild cases.Currently,the clinical treatment of gallstones mainly includes observation,conservative,or surgical treatment(laparoscopic cholecystectomy).However,there remains some controversy regarding the clinical management of these patients.For asymptomatic or mild gallstones,the main point of contention in both academic and clinical settings is how to determine the indications for cholecystectomy.This article reviews relevant literature from both domestic and international sources,addressing the controversies surrounding the clinical management of gallstones and the determination of indications for cholecystectomy,and elaborates on these issues from multiple perspectives.
