def
removal of gall bladder
indications
symptomatic gallstones
can be carried out within 72hrs of onset of acute cholecystitis
for open cholecystectomy
-suspected gallbladder cancer
for conversion to open cholecystectomy from laparoscopic
-inability to identify anatomy (adhesions, intraoperative complications)
complications
early -infection -bleeding -bile leak -bile duct injury late -post-cholecystectomy syndrome (persistent indigestion symptoms) -biliary stricture -hernias