Cutting-edge surgery for cholelithiasis
Keywords:
cholelithiasis, cholecystectomy, laparoscopic surgery, minilaparoscopic surgery, subtotal cholecystectomy, transluminal endoscopic surgery through natural orifices.Abstract
Cholelithiasis is a pathology that in most people is asymptomatic and is evidenced as an
incidental finding in routine imaging studies for other abdominal pathologies, however
it can become symptomatic and cause complications that can be life threatening and
require emergency surgical management. In this systematic review of the literature,
we describe the clinical presentation of cholelithiasis, its diagnosis and surgical
management, emphasizing the surgical techniques developed so far, its benefits and
complications and the management of the patient after cholecystectomy.
References
Castro PMV, Akerman D, Munhoz CB, Sacramento I, Mazzurana M, Alvarez GA. Colecistectomia laparoscópica versus minilaparotômica na colelitíase: revisão sistemática e metanálise. Arq Bras Cir Dig. 2014;27(2):148-53.
Fernández RM, Senra NV, Ríos EF, Mauriz V, Domínguez JE. Biliary stone disease. Med. 2020;13(9):488-96. Disponible en: https://doi.org/10.1016/j.med.2020.05.027
Chen C-H, Huang M-H, Yang J-C, Nien C-K, Etheredg GD, Yang C-C, et al. Prevalence and risk factors of gallstone disease in an adult population of Taiwan: an epidemiological survey. J Gastroenterol Hepatol. 2006;21(11):1737-43.
Everhart JE, Ruhl CE. Burden of digestive diseases in the United States Part III: Liver, biliary tract, and pancreas. Gastroenterology. 2009;136(4):1134
Gaitán JA, Martínez VM. Enfermedad litiásica biliar, experiencia en una clínica de cuarto nivel, 2005-2011. Rev Colomb Cirugía. 2014;29(3):188-96. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011-75822014000300003&lng=en
Reyes ML, Díaz JA, López JA, Del Río F, Valdés J, Sánchez L, et al. Evolución del abordaje quirúrgico de la colecistitis aguda en una unidad de cirugía de urgencias. Cir Esp. 2012;90(3):186-90.
Herrera A, López H, Gómez GA, Mata CJ. Eficiencia del manejo laparoscópico vs. endoscópico en colelitiasis y coledocolitiasis. ¿Existe diferencia? Cir y Cir (English Ed). 2017;85(4):306-11.
Liang Y, McFadden DW, Shames BD. Choledocholithiasis and Cholangitis. En: Zinner MJ, Ashley SW, Hines OJ, editores. Maingot’s Abdominal Operations, 13e. New York, NY: McGraw Hill Education; 2019. Disponible en: http://accesssurgery.mhmedical.com/content.aspxaid=1160044859
Maple JT, Ben-Menachem T, Anderson MA, Appalaneni V, Banerjee S, Cash BD, et al. The role of endoscopy in the evaluation of suspected choledocholithiasis. Gastrointest Endosc. 2010;71(1):1-9.
Horgan S, Meireles OR, Jacobsen GR, Sandler BJ, Ferreres A, Ramamoorthy S, et al. Broad clinical utilization of NOTES: is it safe? SurgEndosc. 2013;27(6):1872-80. Disponible en: https://doi.org/10.1007/s00464-012-2736-z
Keplinger KM, Bloomston M. Anatomy and embryology of the biliary tract. Surg Clin North Am. 2014;94(2):203-17.
Dynamed. Cholecystectomy. Servicios de información de EBSCO. 2022. Disponible en: https://www.dynamed.com/procedure/cholecystectomy
Abdalla S, Pierre S, Ellis H. Calot’s triangle. Clin Anat. mayo de 2013;26(4):493-501.
Baron TH, Grim IS, Swanstrom LL. Interventional Approaches to Gallbladder Disease. N Engl J Med. 2015;373(4):357-65.
Housset C, Chrétien Y, Debray D, Chignard N. Functions of the Gallbladder. Compr Physiol. 2016;6(3):1549-77.
Solares MRZ, Calatayud MG, García AR. Anatomía y fisiología de la vesícula biliar. En: Torres EP, Francis JMA, Sahagún FB, Stalnikowitz DK, editores. Gastroenterología. New York, NY: McGraw-Hill Education; 2015.
Lammert F, Gurusamy K, Ko CW, Miquel J-F, Méndez N, Portincasa P, et al Gallstones. Nat Rev Dis Prim. 2016;2:16024.
Dynamed. Gallstones. Servicios de información de EBSCO. Disponible en: https://www.dynamed.com/condition/gallstones
Zhao J, Kim H, Han Y, Choi YJ, Byun Y, Kwon W, et al. Chronological changes in epidemiologic features of patients with gallstones over the last 20 years in a single large-volume Korean center. Ann Surg Treat Res. 2019;97(3):136-41. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31508394
Liu B, Balkwill A, Roddam A, Brown A, Beral V. Separate and joint effects of alcohol and smoking on the risks of cirrhosis and gallbladder disease in middle-aged women. Am J Epidemiol. 2009;169(2):153-60.
Tsai C-J, Leitzmann MF, Willett WC, Giovannucci EL. Long-term intake of trans-fatty acids and risk of gallstone disease in men. Arch Intern Med. 2005;165(9):1011-5.
Field AE, Coakley EH, Must A, Spadano JL, Laird N, Dietz WH, et al. Impact of overweight on the risk of developing commo chronic diseases during a10-year period. Arch Intern Med. 2001;161(13):1581-6.
Cirillo DJ, Wallace RB, Rodabough RJ, Greenland P, LaCroix AZ, Limacher MC, et al. Effect of estrogen therapy on gallbladder disease. JAMA. 2005;293(3):330-9.
Trowbridge RL, Rutkowski NK, Shojania KG. Does this patient have acute cholecystitis? JAMA. 2003;289(1):80-6.
Tornero MM, Ródenas GA, Álvarez FC. Protocolo diagnóstico del dolor agudo y crónico en hipocondrio derecho. Med. 2016;12(8):457-62. Disponible en: http://dx.doi.org/10.1016/j.med.2016.03.023
Demehri FR, Alam HB. Evidence-Based Management of Common Gallstone-Related Emergencies. J Intensive Care Med. 2016;31(1):3-13.
Maple JT, Ikenberry SO, Anderson MA, Appalaneni V, Decker GA, Early D, et al. The role of endoscopy in the management of choledocholithiasis. Gastrointest Endosc. 2011;74(4):731-44.
Yokoe M, Hata J, Takada T, Strasberg SM, Asbun HJ, Wakabayashi G, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). Journal of hepato-biliary-pancreatic sciences. Japan. 2018;25:41-54.
EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol. 2016;65(1):146-81.
Overby DW, Apelgren KN, Richardson W, Fanelli R. SAGES guidelines for the clinical application of laparoscopic biliary tract surgery. Surg Endosc. 2010;24(10):2368-86. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=20706739&lang=es&site=ehost-live
Traverso LW. Carl Langenbuch and the first cholecystectomy. Am J Surg. 1976;132(1):81-2. Disponible en: https://www.sciencedirect.com/science/article/pii/0002961076902956
Ahmed O, Rogers AC, Bolger JC, Mastrosimone A, Lee MJ, Keeling AN, et al. Meta-analysis of outcomes of endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for the management of acute cholecystitis. Surg Endosc. 2018;32(4):1627-35.
SSAT patient care guidelines. Treatment of gallstone and gallbladder disease. J Gastrointest Surg Off J Soc Surg Aliment Tract. 2007;11(9):1222-4.
Álvarez LF, Rivera D, Esmeral ME, García MC, Toro DF, Rojas OL. Colecistectomía laparoscópica difícil, estrategias de manejo. Rev Colomb Cirugía. 2013;28(3):186-95. Disponible en: https://www.revistacirugia.org/index.php/cirugia/article/view/306
Mourot J. Colecistectomía por laparotomía en la colelitiasis. EMC-Técnicas Quirúrgicas-Apar Dig. 2006;22(4):1-12. Disponible en: http://dx.doi.org/10.1016/S1282-9129(06)47847-8
Rocha FG, Clanton J. Technique of cholecystectomy: Open and minimally invasive. Sixth Edition. Blumgart’s Surgery of the Liver, Biliary Tract and Pancreas: Sixth Edition. 2016;1-2(35) 569-584.e2 p. Disponible en: http://dx.doi.org/10.1016/B978-0-323-34062-5.00035-2
Sanford DE. An Update on Technical Aspects of Cholecystectomy. Surg Clin North Am. 2019;99(2):245-58.
Gupta V, Jain G. Safe laparoscopic cholecystectomy: Adoption of universal culture of safety in cholecystectomy. World J Gastrointest Surg. 2019;11(2):62-84.
Berci G, Hunter J, Morgenstern L, Arregui M, Brunt M, Carroll B, et al. Laparoscopic cholecystectomy: first, do no harm; second, take care of bile duct stones. Surg Endosc. 2013;27(4):1051-4. Disponible en: https://doi.org/10.1007/s00464-012-2767-5
Barrett M, Asbun HJ, Chien H-L, Brunt LM, Telem DA. Bile duct injury and morbidity following cholecystectomy: a need for improvement. Surg Endosc. 2018;32(4):1683-8. Disponible en: https://doi.org/10.1007/s00464-017-5847-8
Low S-W, Iyer SG, Chang SK-Y, Mak KSW, Lee VTW, Madhavan K. Laparoscopic cholecystectomy for acute cholecystitis: safe implementation of successful strategies to reduce conversion rates. Surg Endosc. 2009;23(11):2424. Disponible en: https://doi.org/10.1007/s00464-009-0374-x
Bingener-Casey J, Richards ML, Strodel WE, Schwesinger WH, Sirinek KR. Reasons for Conversion From Laparoscopic to Open Cholecystectomy: A 10-Year Review. J Gastrointest Surg. 2002;6(6):800-5. Disponible en: https://www.sciencedirect.com/science/article/pii/S1091255X02000641
Licciardello A, Arena M, Nicosia A, Di Stefano B, Calì G, Arena G, et al. Preoperative risk factors for conversion from laparoscopic to open cholecystectomy. Eur Rev Med Pharmacol Sci. diciembre de 2014;18(2 Suppl):60-8.
Vergnaud JP, Penagos S, Herrera A, Goldstein A, Zerrate A, Vásquez J. Colecistectomía Laparoscópica Experiencia en Hospital de Segundo Nivel. Rev Colomb Cirugía. 2000;15(1):8-13. Disponible en: https://www.revistacirugia.org/index.php/cirugia/article/view/1316
Vargas RL, Agudelo SM, Lizcano CR, Martínez BM, Velandia L, Sánchez HS, et al. Factores asociados con la conversión de la colecistectomía laparoscópica a colecistectomía abierta. Rev colomb gastroenterol. 017;32(1):20-3. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&%0Apid=S0120-99572017000100003
Lamberts MP, Lugtenberg M, Rovers MM, Roukema AJ, Drenth JPH, Westert GP, et al. Persistent and de novo symptoms after cholecystectomy: a systematic review of cholecystectomy effectiveness. Surg Endosc. 2013;27(3):709-18. Disponible en: https://doi.org/10.1007/s00464-012-2516-9
Ribas Y, Pérez M, Gómez L, Jovell E, Om LM. Low-fat diet after cholecystectomy: Should it be systematically recommended? Cirugia Espanola. 2020;98:36-42.
Gil GE, Dueñas F, Guadalupe M, Delgadillo F, Ro Z, Maldonado E. Experiencia en colecistectomía minilaparoscópica en una serie de casos. Cirugía endoscópica. 2018;19:55-8.
Tang A, Cohan CM, Beattie G, Mooney CM, Chiang A, Keeley JA. Factors that Predict the Need for Subtotal Cholecystectomy. Am Surg. 2021;87(8):1245-51.
Sierra-Sierra S, Zapata F, Mendez M, Portillo S, Restrepo C. Colecistectomía subtotal: una alternativa en el manejo de la colecistectomía difícil. Rev Colomb Cirugía. 2020;35(4):593-600.
Strasberg SM, Pucci MJ, Brunt LM, Deziel DJ. Subtotal Cholecystectomy-”Fenestrating” vs «Reconstituting» Subtypes and the Prevention of Bile Duct Injury: Definition of the Optimal Procedure in Difficult Operative Conditions. J Am Coll Surg. 2016;222(1):89-96.
Bessler M, Stevens PD, Milone L, Parikh M, Fowler D. Transvaginal laparoscopically assisted endoscopic cholecystectomy: a hybrid approach to natural orifice surgery. Gastrointest Endosc. 2007;66(6):1243-5.
Mejías J, Almau H, García N, Arellano J, De la Fuente R. Notes: colecistectomía trans-vaginal video asistida, con instrumentos laparoscópicos convencionales: Descripción de la técnica quirúrgica. Rev Venez CIRUGÍA. 2020;62(3SE-):231-5.
Zorrón R, Filgueiras M, Maggioni LC, Pombo L, Lopes G, Lacerda A. NOTES. Transvaginal cholecystectomy: report of the first case. Surg Innov. 2007;14(4):279-83.
Ramos AC, Murakami A, Galvão Neto M, Galvão MS, Silva ACS, Canseco EG, et al. NOTES transvaginal video-assisted cholecystectomy: first series. Endoscopy. 2008;40(7):572-5.
Arcila V, Pineda AJ, Sánchez LF. Ventajas de la colecistectomía transvaginal. Rev Ciencias Biomédicas. 2020;6(1):130-7. Disponible en: https://revistas.unicartagena.edu.co/index.php/cbiomedicas/article/view/2991
Gurusamy KS, Samraj K, Fusai G, Davidson BR. Robot assistant versus human or another robot assistant in patients undergoing laparoscopic cholecystectomy. Cochrane database Syst Rev. 2012;9(9):CD006578.
Al-Saad MH, Alawadh AH, Al-Bagshi AH. Surgical Management of Cholelithiasis. Egypt J Hosp Med. 2018;70(8):1416-20.
Marks JM, Phillips MS, Tacchino R, Roberts K, et al Single-Incision Laparoscopic Cholecystectomy Is Associated with Improved Cosmesis Scoring at the Cost of Significantly Highe Hernia Rates: 1-Year Results of a Prospective Randomized, Multicenter, Single-Blinded Trial of Traditional Multiport Laparoscopic. JAmCollSurg. 2013;216(6):1037-47.
Rawlings A, Hodgett SE, Matthews BD, Strasberg SM, Quasebarth M, Brunt LM. Single-Incision Laparoscopic Cholecystectomy: Initial Experience with Critical View of Safety Dissection and Routine Intraoperative Cholangiography. J Am Coll Surg. 2010;211(1):1-7.
Downloads
Published
Versions
- 2025-11-15 (5)
- 2025-11-15 (4)
- 2025-11-15 (3)
- 2025-08-13 (2)
- 2022-09-20 (1)
How to Cite
Issue
Section
License
Copyright (c) 2022 Scientific and Eduaction Medical JournalAtribución – No comercial – Compartir igual: Esta licencia permite a otros distribuir, remezclar, retocar, y crear a partir de tu obra de modo no comercial, siempre y cuando te den crédito y licencien sus nuevas creaciones bajo las mismas condiciones.
Attribution-NonCommercial-ShareAlike 4.0 International
