Netherlands: Restrictive Strategy for Gallstone Surgery Does Not Change Five-Year Outcomes
In patients with abdominal pain and gallstones, a more restrictive approach may avoid unnecessary cholecystectomies, with no difference in five-year outcomes, according to a study published online Aug. 21 in JAMA Surgery.
Daan J. Comes, M.D., from Radboud University Medical Centre in Nijmegen, Netherlands, and colleagues evaluated the long-term impact of restrictive selection or usual care for cholecystectomy in patients with symptomatic cholelithiasis. Persistent pain and biliary and surgical complications were evaluated at five-year follow-up for 1,067 patients.
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