[levdub]

И все-таки, наверное, точку в этом обсуждении поставить трудно. Вот, например, ссылка от FRSM:

[Ссылки доступны только зарегистрированным пользователям ]
INCIDENTAL CHOLECYSTECTOMY

Sometimes, consideration is given to perform an incidental cholecystectomy in addition to the planned operation in patients with asymptomatic gallstones. The purpose would be to prevent postoperative cholecystitis or the later development of symptoms. Of course the addition of one procedure should bear no added risks for the patient. Several investigators have tried to address this question. Several studies have confirmed a high incidence of biliary symptoms following laparotomy for unrelated conditions. Juhasz and colleagues studied patients with asymptomatic cholelithiasis who underwent operation for colorectal disease. One hundred and ninety-five (4%) had an incidental cholecystectomy while 110 (36%) did not There was no increase in operative morbidity in the cholecystectomy group. A total of 20 patients required cholecystectomy during a median follow up of 6 years in non operative group. The cumulative probability of needing a cholecystectomy at 2 and 5 years after the initial surgery was 12 and 22 %( 26). The authors therefore recommend incidental cholecystectomy in patients with asymptomatic gallstones who undergo operation for colorectal diseases. Simple cholecystectomy is now widely accepted as a concomitant procedure during the course of laparotomy for unrelated conditions. Its purpose is not only to prevent immediate postoperative biliary complications but also to reduce the risk of later biliary symptoms. If the gallstones are discovered preoperatively, as is most often the case, cholecystectomy should be discussed with the patient preoperatively. The discussion should emphasize the safety and the purpose of the procedure and not dismiss the possible complications—as with any additional surgical procedure. Clinical judgment and caution as to the appropriateness of the procedure remain paramount in each specific case of incidental cholecystectomy.

(Выделено мной).

А вот еще вопрос к каждому: у Вас (или у меня), камни ЖП, практически без симптомов. И вот (не дай Бог, никому не желаю!) выявлена опухоль восходящей тол. кишки. Пожелали ли бы Вы при Вашей операции ХЭ? (я-однозначно да).