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Surg Endosc 2023 Sep 26. Epub 2023 Sep 26.

Faculty of Medicine, Yarmouk University, Irbid, Jordan.

Background: Post-laparoscopic shoulder pain is very common after laparoscopy. One method to reduce postoperative shoulder pain is the pulmonary recruitment maneuver. It is used to reduce post-laparoscopic shoulder pain. Read More

Eur Rev Med Pharmacol Sci 2023 Sep;27(17):8245-8252

Department of Surgery, PO SS. Trinità, Cagliari, Italy.

Objective: Laparoscopic cholecystectomy (LC) is the gold standard for most benign gallbladder diseases. Early discharge (<24 hours) has the same outcomes as longer (>24 hours) hospital stay. Nevertheless, the rate of delayed discharge >24 hours range from 4. Read More

Cureus 2023 Aug 25;15(8):e44098. Epub 2023 Aug 25.

General Surgery Department, Hayatabad Medical Complex Peshawar, Peshawar, PAK.

Background: Misidentification of anatomical structures is one of the most common causes of bile duct injury following laparoscopic cholecystectomy. Achieving Critical View of Safety (CVS) is a standard step in conducting safe cholecystectomy all over the world. In our institute, we achieve CVS via a unique technique called Triple One or 111 and find it very helpful and easy to achieve CVS. Read More

BMC Gastroenterol 2023 Sep 25;23(1):328. Epub 2023 Sep 25.

Department of Surgery, Konyang University Hospital, Konyang University College of Medicine, 158, Gwanjeodong-ro, Seo-gu, 35365, Daejeon, South Korea.

Background: Impact of advanced age on disease characteristics of acute cholecystitis (AC), and surgical outcomes after laparoscopic cholecystectomy (LC) has not been established.

Methods: This single-center retrospective study included patients who underwent LC for AC between April 2010 and December 2020. We analyzed the disease characteristics and surgical outcomes according to age: Group 1 (age < 60 years), Group 2 (60 ≤ age < 80 years), and Group 3 (age ≥ 80 years). Read More

Cir Esp (Engl Ed) 2023 Sep 23. Epub 2023 Sep 23.

Unidad de Cirugía Hepato-Bilio-Pancreática. Servicio de Cirugía General y del Aparato Digestivo del Hospital Universitario Parc Taulí, Sabadell (Barcelona).

Introduction: Incidence of gallbladder polyps is 0,3-12%. It is important to differentiate pseudopolyps (cholesterol polyps, adenomyomatosis, inflammatory polyps), which do not have the capacity to become malignant, from true polyps (adenomas and adenocarcinomas). The main risk factors for malignancy are >6-10 mm, growth, sessile morphology, Indian ethnicity and primary sclerosing cholangitis. Read More

Dig Surg 2023 Sep 25:1-8. Epub 2023 Sep 25.

Departments of Surgery A, Galilee Medical Center, The Azrieli Faculty of Medicine, Bar-Ilan University, Nahariya, Israel.

Introduction: Currently, the rate of bile duct injury and leak following laparoscopic cholecystectomy (LC) is still higher than for open surgery. Diverse investigative algorithms were suggested for bile leak, shifting from hepatobiliary scintigraphy (HBS) toward invasive and more sophisticated means. We aimed to analyze the use of biliary scan as the initial modality to investigate significant bile leak in the drain following LC, attempting to avoid potential unnecessary invasive means when the scan demonstrate fair passage of nuclear substance to the intestine, without leak. Read More

Cureus 2023 Aug 23;15(8):e43982. Epub 2023 Aug 23.

Trauma and Burn, Cook County Health, Chicago, USA.

The prevalence of gallbladder injury in a traumatic event is rare, occurring in only 1.9%-2.0% of all abdominal traumas. Read More

Front Med (Lausanne) 2023 7;10:1212646. Epub 2023 Sep 7.

Department of Anesthesiology, Northern Jiangsu People's Hospital, Yangzhou, Jiangsu, China.

Background: Reflux aspiration is a rare but serious complication during induction of anesthesia. The primary aim of this study is to compare the incidence of reflux and microaspiration in patients undergoing laparoscopic cholecystectomy during induction of general anesthesia using either a facemask or trans-nasal humidified rapid insufflation ventilatory exchange.

Methods: We conducted a single-center, randomized, controlled trial. Read More

Cureus 2023 Sep 22;15(9):e45770. Epub 2023 Sep 22.

Community Medicine, All India Institute of Medical Sciences, Patna, IND.

Background Port site morbidities after laparoscopic cholecystectomy may be related to the port used for the extraction of the gallbladder. Prior randomized trials that tried to address the suitable port for gallbladder extraction showed mixed results favouring epigastric, whereas others favoured umbilical. Thus, the present study was conducted with the aim of finding a suitable port for gallbladder extraction after laparoscopic cholecystectomy. Read More

Surg Open Sci 2023 Sep 12;15:67-72. Epub 2023 Sep 12.

Department of Abdominal Surgery and Transplantation, CHU Liège, University of Liège, Belgium.

Background: Laparoscopic surgery is the gold standard for many abdominal surgeries. Laparoscopic programs in low- and middle-income countries (LMICs) and in sub-Saharan Africa face many constraints, although its use is safe, feasible, and clinically beneficial. The authors assessed patient-reported outcomes and the experience of patients operated on at the University Teaching Hospital of Kigali (CHUK). Read More

Int J Surg Case Rep 2023 Sep 22;111:108859. Epub 2023 Sep 22.

Department of General Surgery, Palestinian Medical Complex (PMC), Ramallah, Palestine; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.

Introduction: Mucinous cystic neoplasm is a rare premalignant tumor of the pancreas typically affects middle aged women. Mostly it affects the body and the tail of the pancreas and in very rare cases it may affect the head.

Case Presentation: A 56-year-old female patient, previously diagnosed with type 2 diabetes mellitus, and with an unremarkable medical and surgical history except for a laparoscopic cholecystectomy and multiple admissions due to colonic diverticular disease, which ultimately required a left hemicolectomy. Read More

Health Policy 2023 Sep 15;137:104915. Epub 2023 Sep 15.

Healthcare Outcome Research Centre (HORC), School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.

Activity-Based Funding (ABF) is a funding policy incentivising hospitals to deliver more efficient care. ABF can be complemented by additional price incentives to further drive hospital efficiency. In 2016, ABF was introduced for public patients admitted to Irish public hospitals. Read More

HPB (Oxford) 2023 Sep 7. Epub 2023 Sep 7.

Hepatobiliary and Pancreatic Surgery Unit, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom.

Aims: To evaluate comparative outcomes of fenestrating and reconstituting subtotal cholecystectomy (STC) in patients with difficult gallbladder.

Methods: A systematic search of electronic data sources and bibliographic reference lists were conducted. All comparative studies reporting outcomes of laparoscopic fenestrating and reconstituting STC were included and their risk of bias were assessed using ROBINS-I tool. Read More

Surg Endosc 2023 Sep 21. Epub 2023 Sep 21.

Department of Surgery, Bnai Zion Medical Center, Haifa, Israel.

Background: The limited 70° field of view (FoV) used in standard laparoscopy necessitates maneuvering the laparoscope to view the ports, follow the surgical tools, and search for a target region. Complications related to events that take place outside the FoV are underreported. Recently, a novel laparoscopic system (SurroundScope, 270Surgical) was reported to dramatically expand the FoV from 70 to 270°. Read More

Front Surg 2023 4;10:1265293. Epub 2023 Sep 4.

Department of Anesthesiology, Yangzhou University Affiliated Northern Jiangsu People's Hospital, Yangzhou, China.

Background: To evaluate the gastric volume and nature after drinking preoperative oral carbohydrates in patients undergoing laparoscopic cholecystectomy via ultrasonography.

Methods: One hundred patients who had been scheduled for elective laparoscopic cholecystectomy were enrolled and randomized into the traditional fasting group (Control group,  = 50) and the carbohydrate group (CHO group,  = 50). Patients in the Control group fasted solids and drink from midnight, the day before surgery. Read More

BMC Anesthesiol 2023 Sep 20;23(1):321. Epub 2023 Sep 20.

Department of Anesthesiology and Pain Medicine, Hanyang University Hospital, Hanyang University College of Medicine, 222-1, Wangsimni-ro, Seoungdong-gu, 04763, Seoul, Republic of Korea.

Background: Proper mask ventilation is important to prevent air inflow into the stomach during induction of general anesthesia, and it is difficult to send airflow only through the trachea without gastric inflation. Changes in gastric insufflation according to mask ventilation during anesthesia induction were compared.

Methods: In this prospective, randomized, single-blind study, 230 patients were analyzed to a facemask-ventilated group (Ventilation group) or no-ventilation group (Apnea group) during anesthesia induction. Read More

Arq Bras Cir Dig 2023 15;36:e1749. Epub 2023 Sep 15.

Universidade Federal do Paraná, Department of Surgery - Curitiba (PR), Brazil.

Acute cholecystitis (AC) is an acute inflammatory process of the gallbladder that may be associated with potentially severe complications, such as empyema, gangrene, perforation of the gallbladder, and sepsis. The gold standard treatment for AC is laparoscopic cholecystectomy. However, for a small group of AC patients, the risk of laparoscopic cholecystectomy can be very high, mainly in the elderly with associated severe diseases. Read More

Arq Bras Cir Dig 2023 15;36:e1761. Epub 2023 Sep 15.

Chandigarh University - Mohali, Punjab, India.

The introduction of chatbots has been one of the most intriguing advances in artificial intelligence. There are numerous potential uses for artificial intelligence in clinical research. However, there are also some issues that require attention. Read More

JAMA Surg 2023 Sep 20. Epub 2023 Sep 20.

Department of Surgery, University of California, San Francisco.

Importance: Robotic-assisted cholecystectomy is rapidly being adopted into practice, partly based on the belief that it offers specific technical and safety advantages over traditional laparoscopic surgery. Whether robotic-assisted cholecystectomy is safer than laparoscopic cholecystectomy remains unclear.

Objective: To determine the uptake of robotic-assisted cholecystectomy and to analyze its comparative safety vs laparoscopic cholecystectomy. Read More

Cureus 2023 Aug 17;15(8):e43642. Epub 2023 Aug 17.

Surgery, Jinnah Hospital, Lahore, PAK.

Background: Though laparoscopic cholecystectomy has become a gold standard management technique for gallbladder diseases, an open approach can also be used for patients having complicated gallbladder disease. Post-cholecystectomy complications are well-documented in existing English scientific literature but are not well understood according to the grade of intervention required to treat those complications.

Objective: To compare the postoperative complications of laparoscopic versus open cholecystectomy according to the modified Clavien-Dindo classification (MCDC) system. Read More

Cureus 2023 Sep 16;15(9):e45348. Epub 2023 Sep 16.

Upper Gastrointestinal Surgery, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, London, GBR.

Objective A percutaneous cholecystostomy (PC) is a suitable option for treating acutely inflamed gallbladders. Its use has been postulated before for treating acute cholecystitis (AC), especially in elderly populations. The primary aim of our study is to analyze and present the positive results of PC as a bridge to laparoscopic cholecystectomy. Read More

World J Surg 2023 Sep 17. Epub 2023 Sep 17.

Department of Surgery, PGIMER, Chandigarh, India.

Background: Postoperative nausea and vomiting (PONV) causes an unexpected prolonged hospital stay after ambulatory surgery. Novel measures such as preoperative loading of oral carbohydrates and postoperative chewing gum have recently gained momentum for postoperative recovery. This study evaluated the effects of preoperative carbohydrate loading and postoperative chewing gum (CG) on PONV after daycare laparoscopic cholecystectomy (LC). Read More

Surg Endosc 2023 Sep 15. Epub 2023 Sep 15.

Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Marcoleta 377, Santiago, Chile.

Introduction: Laparoscopic surgery is the approach of choice for multiple procedures, being laparoscopic cholecystectomy one of the most frequently performed surgeries. Likewise, video recording of these surgeries has become widespread. Currently, the market offers medical recording devices (MRD) with an approximate cost of 2000 USD, and alternative non-medical recording devices (NMRD) with a cost ranging from 120 to 200 USD. Read More

J Minim Invasive Surg 2023 Sep;26(3):151-154

Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, India.

Hepaticojejunostomy is currently the best treatment for post-cholecystectomy biliary strictures. Laparoscopic repair has not gained popularity due to difficult reconstruction. We present case of 43-year-old-female with Bismuth type 2 stricture following laparoscopic converted open cholecystectomy with bile duct injury done elsewhere. Read More

J Minim Invasive Surg 2023 Sep;26(3):121-127

Department of Surgery, The Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Purpose: Minimally invasive surgery (MIS) offers patients several benefits, such as smaller incisions, and fast recovery times. General surgery residents should be trained in both open and MIS. We aimed to examine the trends of minimally invasive and open procedures performed by general surgery residents in Thailand. Read More

J Minim Invasive Surg 2023 Sep;26(3):112-120

Division of Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Korea.

Purpose: Laparoscopic surgery is a choice in several emergency settings. However, there has been no nationwide study or survey that has compared the clinical use of laparoscopic emergency surgery (LES) versus open abdominal emergency surgery (OES) in Korea. Therefore, we examined the state of LES across multiple centers in Korea and further compared this data with the global state based on published reports. Read More

Cureus 2023 Aug 14;15(8):e43473. Epub 2023 Aug 14.

General Surgery, Shifa International Hospital Islamabad, Islamabad, PAK.

Introduction Biliary diseases are a major acute general surgical burden. Laparoscopic cholecystectomy is the gold standard surgical procedure, although it was discontinued during an outbreak. Effective management permits decisive therapy, symptom alleviation, and fewer hospitalizations and complications. Read More

J Coll Physicians Surg Pak 2023 Jan;33(1):68-70

Department of General Surgery, Hamdard University Hospital, Karachi, Pakistan.

This case report describes an intra-abdominal and abdominal wall abscess formation in a 53-year male. The abscess developed 20 years after an uncomplicated laparoscopic cholecystectomy. He presented to multiple clinics with complaints of abdominal swelling and pain and had been prescribed multiple courses of antibiotics in the preceding six months before a definitive diagnosis was made. Read More

Int Wound J 2023 Sep 13. Epub 2023 Sep 13.

Department of General Surgery, Faculty of Medicine, Misr University for Science and Technology (MUST), Giza, Egypt.

Surgical site infection (SSI) is a common cause of post-operative morbidity. According to the latest report announced by CDC, the SSI accounts for 20% of healthcare-associated infection with a high risk of mortality up to twofold to 11-fold increase with high economic burden for the prolonged hospital stay. Port site infection (PSI) is a subgroup of SSI occurring at the ports of laparoscopy. Read More

BMC Surg 2023 Sep 13;23(1):277. Epub 2023 Sep 13.

Department of General Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.

Background: Percutaneous transhepatic gallbladder drainage (PTGBD) is a relatively less invasive alternative treatment to cholecystostomy. However, the influence of the difficulty of delayed laparoscopic cholecystectomy (DLC) after PTGBD on clinical outcomes remains unknown. This study aimed to evaluate the clinical effects of DLC following PTGBD. Read More