Да, большое спасибо Евгений, получил истинное удовольствие читая это обсуждение. Как раз там затронуты все те вопросы, по которым мы и дискутируем в этой теме.
Цитата:
Exceptions to this policy – of not operating on asymptomatic gallstones – may depend on whether the patient is scheduled for another abdominal operation or whether an operation is carried out specifically for the presence of gallstones...
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Provided that the exposure is adequate and there are no associated hepatobiliary risk factors (abnormal liver function tests, dilated bile ducts, cirrhosis, a shrunken or scarred gallbladder), incidental cholecystectomy can be carried out safely as part of another abdominal procedure.
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Similarly accidental discovery of gall stones at laparotomy some controversy continues regarding the management amongst proponents of prophylactic cholecystectomy and those who believe that combining surgery for a aysmptomatic disease increases morbidity. Reports are conflicting regarding both the incidence of biliary symptoms after surgery in patients in whom the gall bladder is not removed and the incidence of longer recovery time and perioperative complications in patients who do have cholecystectomy en passant currently. A role for prophylactic treatment for aysmptomatic stones discovered at major abdominal surgery remains to be demonstrated. Cholecystectomy en passant currently is clearly indicated only in symptomatic patients.
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Прим. - выделение полужирным шрифтом мое. Вот, пожалуй и весь summary по нашей дискуссии.