Cracking the silent gallstone code:Wait or operate?  

作　　者：Aakansha Giri Goswami Somprakas Basu 

机构地区：[1]Department of General Surgery,All India Institute of Medical Sciences,Rishikesh 249203,Uttarakhand,India

出　　处：《World Journal of Clinical Cases》2024年第16期2692-2697,共6页世界临床病例杂志

摘　　要：The widespread availability of abdominal ultrasound has revealed the common occurrence of asymptomatic gallstones.While the treatment for symptomatic gallstones is clear,the benefits of minimally invasive laparoscopic cholecystectomy have sparked debate about the best approach to managing silent gallstones.The potential for asymptomatic gallstones to become symptomatic or lead to complications complicates the decision-making process regarding surgical intervention,as it's uncertain when or which patients might develop complications.Consequently,risk stratification appears to play a critical role in guiding decisions about silent gallstones.However,there is no definitive evidence to direct management,and a consensus-based on high-quality evidence is yet to be established.

关 键 词：Asymptomatic gallstones Silent gallstones CHOLECYSTECTOMY Gallbladder cancer Risk stratification 

分 类 号：R575.62[医药卫生—消化系统] R574.2[医药卫生—内科学]