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Peponis T, Eskesen TG, Mesar T, et al. Bile spillage as a risk factor for surgical site infection
after laparoscopic cholecystectomy: a prospective study of 1,001 patients. J Am Coll Surg.
2018;226(6):1030–1035.
SEE ALSO
Cholangitis, Acute; Choledocholithiasis
CODES
ICD10
K80.20 Calculus of gallbladder w/o cholecystitis w/o obstruction
K80.21 Calculus of gallbladder w/o cholecystitis with obstruction
K80.01 Calculus of gallbladder w acute cholecystitis w obstruction
CLINICAL PEARLS
Most patients with gallstones are asymptomatic.
Transabdominal US is the imaging modality of choice for the diagnosis of cholelithiasis
(sensitivity, 97%; specificity, 95%).
Laparoscopic cholecystectomy is the preferred surgical procedure for symptomatic
cholelithiasis.
Acute acalculous cholecystitis is associated with bile stasis and gallbladder ischemia.
Prophylactic cholecystectomy is not indicated in patients with asymptomatic gallstones.
