Service de chirurgie générale et digestive, CHU Purpan, 1, place du Docteur-Baylac, 31059 Toulouse cedex 9, France.
J Visc Surg. 2013 Sep;150(4):229-35. doi: 10.1016/j.jviscsurg.2013.06.003. Epub 2013 Aug 2.
The presence of asymptomatic gallstones is no longer an indication for elective prophylactic cholecystectomy (PC) according to the recommendations of the 1991 French Consensus Conference on cholelithiasis. However, there may be potential benefits of performing prophylactic cholecystectomy during certain abdominal procedures for non-biliary disease; this remains a subject of debate. This debate has become livelier with the recent increase in bariatric surgery. Gastrectomy for cancer, small bowel resection, colonic resection, and splenectomy for hereditary spherocytosis as well as all bariatric surgical interventions can all alter the physiology of gallstone disease raising the question of the value of PC, but the specific morbidity of cholecystectomy must be kept in mind. The purpose of this study was to report epidemiological and pathophysiological data and the results from literature reports in order to assess the value of concomitant prophylactic cholecystectomy during various common surgical situations.
根据 1991 年法国胆石病共识会议的建议，无症状胆囊结石的存在不再是选择性预防性胆囊切除术 (PC) 的指征。然而，在某些非胆道疾病的腹部手术中进行预防性胆囊切除术可能有潜在的益处；这仍然是一个有争议的话题。随着最近减肥手术的增加，这一争论变得更加激烈。用于治疗癌症的胃切除术、小肠切除术、结肠切除术和遗传性球形红细胞增多症的脾切除术，以及所有减肥手术干预都可能改变胆石病的生理学，从而引发预防性胆囊切除术的价值问题，但必须牢记胆囊切除术的具体发病率。本研究的目的是报告流行病学和病理生理学数据以及文献报告的结果，以评估在各种常见手术情况下同时进行预防性胆囊切除术的价值。
