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Laparoscopic vs open cholecystectomy after ileal resection

For symptomatic gallstone disease after ileal resection, is laparoscopic or open cholecystectomy preferred for postoperative recovery

DecisionNot yet clinician-reviewed

What is known

  • Ileal resection (especially >10 cm resected or re-resection) raises subsequent cholecystectomy risk 1.
  • Prophylactic cholecystectomy during ileocolic resection is not justified because cholecystectomy rates after ileal resection are low 2.

What is unknown / caveats

  • The retrieved crohn's-surgery corpus does not contain a laparoscopic-vs-open cholecystectomy recovery comparison in post-ileal-resection patients, so this specific question cannot be answered from what was indexed
  • The facts above are the closest grounded evidence, not a recovery comparison.

References

  1. Goet JC, Beelen EMJ, Biermann KE, Gijsbers AH, Schouten WR, van der Woude CJ, de Vries AC. Cholecystectomy Risk in Crohn's Disease Patients After Ileal Resection: a Long-term Nationwide Cohort Study. J Gastrointest Surg. 2019;23(9):1840-1847. PMID: 30411310.
  1. Chew SS, Ngo TQ, Douglas PR, Newstead GL, Selby W, Solomon MJ. Cholecystectomy in patients with Crohn's ileitis. Dis Colon Rectum. 2003;46(11):1484-8. PMID: 14605566.

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Draft, generated by the IBDology RAG and not yet clinician-reviewed. Answers are grounded in the retrieved literature listed above; a high faithfulness score means the answer matches its sources, not that the sources are correct.

Reviewer notes

answered 2026-08-04 · corpus build 89548d50