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Consent:Laparoscopic cholecystectomy
- Nature
- Key hole surgery to remove gallbladder
- Alternatives
- No Surgery - have colicky pain
May get complications - pancreatitis, jaundice, septic, carcinoma but rare
- Medical treatment - take prolong medication to dissolve stone, not effective,
stone recur when medication is stopped
- Lithotripsy - high recurrence rate as well
- Benefits
- Less pain and early recovery, symptoms are cured.
- Risks
- Risk of the anaesthetic
- Bleeding, infection and ugly scar from any incision
- Port site hernia, rare
- Damage to common bile duct 1%, serious complication
- Conversion rate of 5% to open cholecystectomy
- Damage to bowel, rare
- Collection of fluid, infection, abscess
- Pancreatitis
- Deep venous thrombosis and its sequelae
Adrian P. Ireland