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Medicina (Kaunas) 2022 Jun 9;58(6). Epub 2022 Jun 9.

Department of Surgery, AHEPA General University Hospital, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Acute cholecystitis, which is usually associated with gallstones is one of the most common surgical causes of emergency hospital admission and may be further complicated by mural necrosis, perforation and abscess formation. Perforation of the gallbladder is a relatively uncommon complication of acute cholecystitis (0.8-3. Read More

J Clin Med 2022 Jun 17;11(12). Epub 2022 Jun 17.

Department of Surgical Sciences, Sapienza University of Rome, 00161 Rome, Italy.

(1) Background: Fluorescence cholangiography has been proposed as a method for improving the visualization and identification of extrahepatic biliary anatomy in order to possibly reduce injuries and related complications. The most common method of indocyanine green (ICG) administration is the intravenous route, whereas evidence on direct ICG injection into the gallbladder is still quite limited. We aimed to compare the two different methods of ICG administration in terms of the visualization of extrahepatic biliary anatomy during laparoscopic cholecystectomy (LC), analyzing differences in the time of visualization, as well as the efficacy, advantages, and disadvantages of both modalities. Read More

J Clin Med 2022 Jun 7;11(12). Epub 2022 Jun 7.

Department of Surgery, Jichi Medical University, Shimotsuke 329-0498, Tochigi, Japan.

Hepatic surgery is a rapidly expanding component of abdominal surgery and is performed for a wide range of indications. The introduction of laparoscopic cholecystectomy in 1987 was a major change in abdominal surgery. Laparoscopic surgery was widely and rapidly adopted throughout the world for cholecystectomy initially and then applied to a variety of other procedures. Read More

Surg Endosc 2022 Jun 23. Epub 2022 Jun 23.

Department of Pancreatic Surgery, West China Hospital of Sichuan University, Chengdu, China.

Background: Due to varied surgical skills and the lack of an efficient rating system, we developed Surgesture based on elementary functional surgical gestures performed by surgeons, which could serve as objective metrics to evaluate surgical performance in laparoscopic cholecystectomy (LC).

Methods: We defined 14 LC basic Surgestures. Four surgeons annotated Surgestures among LC videos performed by experts and novices. Read More

Ann Med Surg (Lond) 2022 Jun 29;78:103668. Epub 2022 Apr 29.

Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Italy.

The existence of a close association between disease of the biliary tract and disease of the heart is known from the mists of time. Acute acalculous cholecystitis (AAC) can be defined as an acute necro inflammatory disease of the gallbladder in the absence of cholelithiasis. AAC is a challenging diagnosis. Read More

Ann Med Surg (Lond) 2022 Jun 8;78:103963. Epub 2022 Jun 8.

Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran.

Objective: Insulin resistance is associated with a number of postoperative complication and delays recovery. Carbohydrate rich drinks given preoperatively may decrease these deleterious effects. This study evaluated the clinical effects of a preoperative carbohydrate loading in patients undergoing laparoscopic cholecystectomy. Read More

Ann Med Surg (Lond) 2022 Jun 1;78:103885. Epub 2022 Jun 1.

Department of General Surgery, Faculty of Medicine, Tishreen University, Lattakia, Syria.

Introduction And Importance: Double gallbladders are a rare anomaly occur in biliary system during the fetal life. In most cases they are asymptomatic, but in few patients, they can progress as a sever disease. Preoperative diagnose is essential in order to prevent surgery complexities and prevent the undesired complications. Read More

Ann Med Surg (Lond) 2022 Jun 18;78:103804. Epub 2022 May 18.

Hamad Medical Corporation, Doha, Qatar.

Objective: To compare the incidence of surgical site infections (SSIs) in low-risk patients undergoing laparoscopic cholecystectomy (LC) with pre-operative antibiotics versus no pre-operative antibiotics administration.

Study Design: Randomized controlled study.

Setting: Hepatobiliary department, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Pakistan, from Jul 1, 2018, to Jun 30, 2021. Read More

World J Gastrointest Surg 2022 May;14(5):470-481

Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China.

Background: Cholecystectomy is the preferred treatment option for symptomatic gallstones. However, another option is gallbladder-preserving cholecystolithotomy which preserves the normal physiological functions of the gallbladder in patients desiring to avoid surgical resection.

Aim: To compare the feasibility, safety and effectiveness of pure natural orifice transluminal endoscopic surgery (NOTES) gallbladder-preserving cholecystolithotomy laparoscopic cholecystectomy (LC) for symptomatic gallstones. Read More

Cureus 2022 May 20;14(5):e25160. Epub 2022 May 20.

Trauma and Acute Care Surgery, Saint Joseph's University Medical Center, Paterson, USA.

The opioid crisis in the United States remains a major issue that is directly linked to the prescribing practices of physicians. There is a lack of consistency in post-operative prescribing of narcotic medications. We have designed a retrospective study to evaluate factors that contribute to the prescription of opioids following common laparoscopic procedures. Read More

Arq Bras Cir Dig 2022 17;35:e1655. Epub 2022 Jun 17.

Department of Surgery, Federal University of Parana - Curitiba - Parana - Brazil.

Aim: One of the ways to avoid infection after surgical procedures is through antibiotic prophylaxis. This occurs in cholecystectomies with certain risk factors for infection. However, some guidelines suggest the use of antibiotic prophylaxis for all cholecystectomies, although current evidence does not indicate any advantage of this practice in the absence of risk factors. Read More

Asian J Surg 2022 Jun 18. Epub 2022 Jun 18.

Division of General Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Guishan, Taoyuan, Taiwan. Electronic address:

N Z Med J 2022 May 20;135(1555):48-58. Epub 2022 May 20.

Consultant General Surgeon, Northland District Health Board; Associate Professor, Department of Surgery, Faculty of Medical and Health Sciences, University of Auckland.

Aim: Acute cholecystitis is a common reason for emergency admission. Rurality and ethnicity are associated with poorer surgical outcomes, but data in benign disease is sparse. This study aims to assess the effect of rurality and ethnicity on the severity, management, and outcomes of acute cholecystitis. Read More

Ann Transl Med 2022 May;10(10):616

Department of Hepatobiliary and Pancreatic Surgery, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, China.

Background: Gallbladder torsion is very rare and easily misdiagnosed as biliary disease. It is defined as the rotation of the gallbladder along the axis of the cystic pedicle on the mesentery. As gallbladder rotation involves the gallbladder artery, the blood supply is blocked, resulting in gallbladder ischemia and eventual necrosis. Read More

Int J Surg Case Rep 2022 Jun 8;96:107273. Epub 2022 Jun 8.

Department of General Surgery A, Hospital La Rabta, Tunis, Tunisia; University Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.

Background: Laparoscopic cholecystectomy is the standard treatment for acute cholecystitis. Cholecystostomy is a good option in patients with significant comorbidities. We report a case of a patient having had a percutaneous cholecystostomy for acute cholecystitis complicated with haemobilia and acute cholangitis. Read More

Surg Endosc 2022 Jun 15. Epub 2022 Jun 15.

Division of Digestive Surgery, Department of Surgery, Geneva University Hospital and Faculty of Medicine, Rue Gabrielle-Perret-Gentil 4, 1211, Geneva, Switzerland.

Background: Achieving proficiency in a surgical procedure is a milestone in the career of a trainee. We introduced a competency assessment tool for laparoscopic cholecystectomy in our residency program. Our aim was to assess the inter-rater reliability of this tool. Read More

Anesth Analg 2022 Jul 16;135(1):e7-e8. Epub 2022 Jun 16.

Department of Anesthesiology, The Third Affiliated Hospital of Anhui Medical University (The First People's Hospital of Hefei), Hefei, Anhui, China,

S D Med 2022 Mar;75(3):120-122

Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Introduction: Laparoscopic cholecystectomy (LC) is the treatment of choice for symptomatic cholelithiasis and is among the most frequently done procedures in United States. Spillage of gallstones occurs in up to 30 percent of these procedures and is associated with rare but important complications including abscess formation.

Case Description: We present a case of 44-year-old man with a peri-hepatic abscess developed three years after a laparoscopic cholecystectomy. Read More

J Minim Access Surg 2022 Jul-Sep;18(3):438-442

Department of General Surgery, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.

Background: The treatment of patients with cholelithiasis with common bile duct (CBD) stones is CBD clearance with cholecystectomy. While traditional teachings advocate waiting for 4-6-week post-endoscopic retrograde cholangiography (ERCP) with CBD clearance, recent studies favour an early laparoscopic cholecystectomy (LC). Hence, this study was conducted to evaluate the optimal timing of LC post-ERCP. Read More

Wideochir Inne Tech Maloinwazyjne 2022 Jun 16;17(2):303-308. Epub 2022 Mar 16.

Department of Vascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Introduction: In some cases, laparoscopic cholecystectomy (LC) may be very difficult and easily converted to laparotomy, causing many complications to patients and prolonging the prognosis time. Thus, to evaluate the difficulty of LC before operation is extremely important.

Aim: To explore the risk factors of difficult cholecystectomy (DC) and to establish a risk prediction model of DC. Read More

J Anaesthesiol Clin Pharmacol 2022 Jan-Mar;38(1):137-142. Epub 2022 Apr 25.

Pain Research Center, Imam Khomeini Hospital Research and Development Unit, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

Background And Aims: General anesthesia induces endocrine, immunologic, and metabolic responses. Anesthetic drugs affect endocrine system by changing the level of stress hormones and hemodynamic of the patient . The purpose of this study was to compare the effects of propofol and isoflurane on hemodynamic parameters and stress-induced hormones in laparoscopic cholecystectomy (LC) surgery. Read More

Zentralbl Chir 2022 Jun 15;147(3):220-223. Epub 2022 Jun 15.

Clin Imaging 2022 Jun 8;89:55-60. Epub 2022 Jun 8.

Division of Surgery, Fujinomiya City General Hospital, Shizuoka, Japan.

Purpose: Retained stones (RS) in the common bile duct (CBD) are one of the major problems after laparoscopic cholecystectomy and usually require endoscopic treatment. However, few reports have investigated risk factors for the development of RS in the CBD.

Methods: A total of 325 patients with acute cholecystitis underwent laparoscopic cholecystectomy at our hospital between January 2013 and Jury 2021. Read More

J Laparoendosc Adv Surg Tech A 2022 Jun 14. Epub 2022 Jun 14.

Gwent Center for Digestive Diseases, Royal Gwent Hospital, Newport, Wales, United Kingdom, General district hospital experience, Case series and review of literature.

Concomitant gallstones and common bile duct (CBD) stones is a common problem, and there is still no consensus on the best approach in the management. Options include preoperative endoscopic retrograde cholangiopancreatography (ERCP), Laparoscopic cholecystectomy (LC) with CBD exploration, and LC with postoperative ERCP. Each option has its own limitations and complications. Read More

J Am Coll Surg 2022 Jul 3;235(1):60-68. Epub 2022 May 3.

From the Department of Surgery (Tonelli, Bunn, Kulshrestha, Cohn, Luchette, Baker), Loyola University Medical Center, Maywood, IL.

Background: Recent socioeconomic pressures in healthcare and work hour resections have limited opportunities for resident autonomy and independent decision-making. We sought to evaluate whether contemporary senior residents are being given the opportunity to operate independently and whether patient outcomes are affected when the attending is not directly involved in an operation.

Study Design: The VA Surgical Quality Improvement Program (VASQIP) Database was queried to identify patients undergoing elective laparoscopic cholecystectomy between 2004 and 2019. Read More

J Am Coll Surg 2022 Jun 21;234(6):1262-1263. Epub 2022 Feb 21.

Rome, Italy.

J Am Coll Surg 2022 Jun 21;234(6):1261-1262. Epub 2022 Feb 21.

Chengdu, People's Republic of China.

J Visc Surg 2022 Jun 11. Epub 2022 Jun 11.

Department of Biliary Surgery, West China Hospital, Sichuan University, PR China. Electronic address:

Am J Clin Oncol 2022 07 19;45(7):306-315. Epub 2022 May 19.

School of Tropical Medicine and Global Health, Nagasaki University, Japan.

Objectives: Primary gallbladder cancer (GBC) is the most common biliary tract cancer with poor survival despite aggressive treatment. This study aimed to investigate the trends of GBC incidence and incidence-based mortality (IBM) over the last 4 decades.

Materials And Methods: GBC cases diagnosed between 1973 and 2015 were retrieved from the Surveillance, Epidemiology, and End Results (SEER) database. Read More

Arch Bronconeumol 2021 Sep;57(9):584-585

Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. Electronic address: