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Offer early laparoscopic cholecystectomy (to be carried out within 1 week of diagnosis) to people with acute cholecystitis. Rationale the earlier a laparoscopic cholecystectomy is performed, the less potential there is for recurrent events such as inflammation and the infection spreading during. Laparoscopic cholecystectomy removal of the gallbladder through 'keyhole' surgery It should be performed within 1 week of diagnosis of acute cholecystitis If it cannot be performed within 1. The nice guideline gallstone disease Diagnosis and management recommends early laparoscopic cholecystectomy (to be carried out within 1 week of diagnosis) for people with. All nice products on cholelithiasis and cholecystitis Includes any guidance and quality standards. This guideline covers diagnosing and managing gallstone disease in adults It aims to reduce variation in care by promoting the most effective treatments, and to improve the. There is a lack of evidence from randomised controlled trials of early compared with delayed laparoscopic cholecystectomy after bile duct clearance with ercp It is unclear what effect the. Reasons for the decision new evidence was identified during the surveillance review which supports the currently recommended diagnostic interventions and management strategies for. Gallstone disease is the term used in this guideline to refer to the presence of stones in the gallbladder or common bile duct and the symptoms and complications they cause. Reassure people with asymptomatic gallbladder stones found in a normal gallbladder and normal biliary tree that they do not need treatment unless they develop.