Goswami Aakansha Giri, Basu Somprakas
Department of General Surgery, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India.
World J Clin Cases. 2024 Jun 6;12(16):2692-2697. doi: 10.12998/wjcc.v12.i16.2692.
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.
腹部超声的广泛应用揭示了无症状胆结石的普遍存在。虽然有症状胆结石的治疗方法很明确，但微创腹腔镜胆囊切除术的益处引发了关于管理无症状胆结石的最佳方法的争论。无症状胆结石出现症状或导致并发症的可能性使手术干预的决策过程变得复杂，因为不确定何时或哪些患者可能会出现并发症。因此，风险分层似乎在指导无症状胆结石的决策中起着关键作用。然而，尚无确凿证据指导治疗，基于高质量证据的共识尚未形成。
