MANAGEMENT OF ASYMPTOMATIC CHOLELITHIASIS: COMPARATIVE EVALUATION BETWEEN EXPECTANT OBSERVATION AND SELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY

• DOI: https://doi.org/10.22533/at.ed.1594612427067

• Palavras-chave: Cholelithiasis, Asymptomatic, Cholecystectomy.

• Keywords: Cholelithiasis, Asymptomatic, Cholecystectomy.

• Abstract:

  Goal: To evaluate and compare the available evidence on management strategies for asymptomatic cholelithiasis, investigating the benefits, risks and challenges of expectant observation compared to cholecystectomy. Methodology: A bibliographic review was carried out using the PubMed database. Search terms included “Asymptomatic cholelithiasis” and “Conservative management,” among other relevant combinations. Nine articles were selected for detailed analysis. Results: The review pointed out that continuous monitoring of patients with asymptomatic cholelithiasis is essential due to the annual risk of developing serious complications. Selective laparoscopic cholecystectomy has been shown to be effective in high-risk subgroups of patients. An individualized approach is recommended in managing these patients, highlighting the need for additional research to refine clinical practices. Final considerations: It is crucial to prioritize continuous clinical monitoring and careful selection of patients for selective laparoscopic cholecystectomy.