What is the role of cholecystectomy in asymptomatic patients with cholelithiasis (gallstones) and sickle cell disease (SCD)?

Updated: May 12, 2021
  • Author: Joseph E Maakaron, MD; Chief Editor: Emmanuel C Besa, MD  more...
  • Print
Answer

Elective cholecystectomy has been used for asymptomatic patients with cholelithiasis, to avoid the possible future need for an emergent procedure. This approach remains controversial.

A retrospective review of 191 cholecystectomies in pediatric sickle cell patients with cholelithiasis (51 elective, 110 symptomatic, and 30 emergent) found postoperative hospitalization time was longer with emergent cholecystectomy than with elective or symptomatic cholecystectomy. Goodwin et al concluded that although overall outcomes for symptomatic and elective patients are favorable, prospective studies are needed to identify clinical indicators that predict the need for emergent cholecystectomy. [90]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!