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Surg Laparosc Endosc Percutan Tech 2020 Jun 2. Epub 2020 Jun 2.

Hepatopancreatobiliary Surgery, Nanchang University Second Affiliated Hospital, Nanchang, China.

Background: Remnant cystic duct (RCD) may be responsible for postcholecystectomy syndrome. We present our experience with the management of remnant cystic duct disease (RCDD) after cholecystectomy.

Methods: Over a period of 5 years, 10 patients underwent reoperation for RCDD in our hospital. Read More

Rev Esp Enferm Dig 2020 Jun 4;112:507-508. Epub 2020 Jun 4.

Biliary and Minimally Invasive Surgery, China Medical University Shengjing Hospital Shenyang.

We read the article published in the Spanish Journal of Gastroenterology and its accompanying editorial about the laparoscopic treatment of both cholecystolithiasis and choledocholithiasis in a single stage procedure. We would like to make some comments. Common bile duct (CBD) stones can lead to serious complications such as cholangitis and pancreatitis. Read More

Cureus 2020 May 2;12(5):e7933. Epub 2020 May 2.

Surgery, Medical Associates Hospital, St. Joseph, TTO.

Trinidad and Tobago, a small twin island republic off the coast of Venezuela, is leading the Caribbean in laparoscopic surgery. While giant gallbladders are usually difficult to operate on and have a high conversion rate from laparoscopic to open procedure, in Trinidad and Tobago a laparoscopic cholecystectomy involving a giant gallbladder and the largest gallstone ever removed laparoscopically was performed uneventfully. Read More

Indian J Anaesth 2020 Apr 28;64(4):316-321. Epub 2020 Mar 28.

Department of Anaesthesiology, Kasturba Medical College and Hospital, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Background: Perioperative anxiety, hunger, thirst, fatigue, pain along with nausea and vomiting can influence a patient's recovery after surgery. We aimed to compare 'enhanced recovery after surgery' (ERAS) protocol with a traditional perioperative approach to evaluate a patient's recovery after elective laparoscopic cholecystectomy.

Methods: A prospective randomised controlled study was conducted after institutional ethical clearance on 50 patients undergoing elective laparoscopic cholecystectomy, and divided equally into two groups. Read More

Int J Surg Case Rep 2020 May 14;71:311-314. Epub 2020 May 14.

General Surgery Department, British Hospital of Buenos Aires, Perdriel 74, CABA, 1280, Argentina.

Background: Although metastatic melanoma is most frequently found in liver, lungs, and brain, most metastases found in the gallbladder are from melanoma. Here, we present a case of isolated metastatic melanoma found during cholecystectomy.

Presentation Of Case: 74-year-old male with a personal history of hypertension, diabetes mellitus, obesity, and arrhythmia. Read More

Urologia 2020 Jun 2:391560320921728. Epub 2020 Jun 2.

Urology Unit, Hospital "Pugliese Ciaccio," Catanzaro, Italy.

Objective: The aim of this study is to assess the safety and feasibility of the transperitoneal laparoscopic approach during nephron sparing surgery in patients with previous abdominal surgery.

Patients And Methods: We retrospectively analyzed patients undergoing transperitoneal laparoscopic partial nephrectomy for renal masses. All patients had received a diagnosis of cT1a renal exophytic mass (⩽5 cm). Read More

Am J Gastroenterol 2020 Jun 1. Epub 2020 Jun 1.

Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Every year approximately 750,000 cholecystectomies are performed in the United States, most of those are performed laparoscopically. Postcholecystectomy complications are not uncommon and lead to increased morbidity and financial burden. Some of the most commonly encountered complications with laparoscopic cholecystectomy include biliary injury (0. Read More

ANZ J Surg 2020 Jun 1. Epub 2020 Jun 1.

The Whiteley-Martin Research Centre, Discipline of Surgery, The University of Sydney, Nepean Hospital, Sydney, New South Wales, Australia.

Background: Patients with typical biliary pain, no gallstones on ultrasound and low gallbladder ejection fraction (GBEF) on cholescintigraphy (gallbladder dyskinesia) may be considered for a laparoscopic cholecystectomy. However, some studies have suggested that symptoms alone are an adequate indication for laparoscopic cholecystectomy. The aim was to determine the role of cholescintigraphy in predicting outcomes of cholecystectomy in patients with typical and atypical biliary symptoms and normal biliary ultrasound. Read More

Int J Mycobacteriol 2020 Jan-Mar;9(1):100-102

Department of Medicine, ABVIMS and Dr. R M L Hospital, New Delhi, India.

Laparoscopic port-site infections, though infrequent, undermine the advantages provided by minimally invasive surgeries. Persistent nonhealing discharging sinuses, not responding to conventional antibiotic therapy, pose diagnostic and therapeutic challenges. Sizeable number of these infections is caused by rapidly growing nontuberculous mycobacteria (NTM), and diagnosing these requires a high index of suspicion. Read More

Int J Surg Case Rep 2020 May 19;71:202-204. Epub 2020 May 19.

Clementino Fraga Filho University Hospital (HUCFF - UFRJ), Brazil.

Introduction: Situs inversus totalis is the technical term used when there is a complete transposition of all organs to the opposite side referring to classical embryogenic orientation. Laparoscopic cholecystectomy is one of the most performed surgeries in the world.

Presentation Of Case: We report the case of a 61-year-old female patient who had previously undergone videolaparoscopic gastroplasty 7 months ago, who developed refractary biliary colic and underwent videolaparoscopic cholecystectomy. Read More

J Visc Surg 2020 May 27. Epub 2020 May 27.

Digestive and transplantation Department, Lille Nord de France University, Claude Huriez Hospital, University Hospital of Lille, rue Michel-Polonovski, 59037 Lille, France.

Neoplastic gallbladder polyps (NGP) are rare; the prevalence in the overall population is less than 10%. NGP are associated with a risk of malignant degeneration and must be distinguished from other benign gallbladder polypoid lesions that occur more frequently. NGP are adenomas and the main risk associated with their management is to fail to detect their progression to gallbladder cancer, which is associated with a particular poor prognosis. Read More

Ann Med Surg (Lond) 2020 Jul 12;55:56-61. Epub 2020 May 12.

Department of Surgery, HPB and Transplant Unit, Fondazione PTV, Tor Vergata University of Rome, Italy.

Ambulatory surgery is an efficient, safe and widely performed procedure; this study would shows the advantages of the ambulatory laparoscopic cholecystectomy procedure from the point of view of patients and the Hospital/National Health System. : Single-center retrospective cohort study including 288 patients who underwent laparoscopic-cholecystectomy at **** from January 2016 to July 2018. Ambulatory LC were compared to well-matched inpatient procedures performed in the same study period. Read More

J Hepatobiliary Pancreat Sci 2020 May 27. Epub 2020 May 27.

Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background: There is no consensus on the optimal timing of laparoscopic cholecystectomy (LC) after gallbladder drainage for acute cholecystitis (AC). To obtain evidence for a consensus, we investigated surgical outcomes of LC after gallbladder drainage with respect to the time elapsed from gallbladder drainage to surgery in a multi-institutional retrospective study.

Methods: This study enrolled 347 patients who underwent LC after gallbladder drainage for AC at 15 institutions. Read More

Front Pediatr 2020 8;8:203. Epub 2020 May 8.

Pediatric Unit, Department of Internal Medicine, University of Pavia and Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Laparoscopic cholecystectomy (LC) is the standard of care for gallbladder (GB) pathologies. We evaluated clinical, ultrasonographic (US) data as well as histopathological findings in children affected with symptomatic cholecystic disease (SCD) who underwent LC, with the aim of defining surgical timing. We reviewed our cases who underwent elective LC (ELC) or urgent LC (ULC). Read More

Ann Hepatobiliary Pancreat Surg 2020 May;24(2):221-227

First Surgical Department, Thessaloniki, Greece.

A typical bile duct branching patterns represent one of the major causes of bile duct injury (BDI) during laparoscopic cholecystectomy (LC). The most common classified variations of bile duct branching, involve the right posterior sectoral duct (RPSD) and its joining with the right anterior or left hepatic duct. Variant bile duct anatomy can rarely be extremely complex and unclassified. Read More

Minerva Anestesiol 2020 May 22. Epub 2020 May 22.

Clinical and Chemical Pathology, Department of Clinical and Chemical Pathology, Beni-Suef University, Beni-Suef, Egypt.

Background: Although there is much concern about the pathogenesis of postoperative cognitive dysfunction (POCD); no effective prevention strategies are currently described. The aim of this work was to study whether intraoperative magnesium sulphate could have a protective effect against developing POCD and to study its impact on serum level of S100B; a marker of neuronal degeneration.

Methods: This is a prospective randomized controlled trial carried out on 80 participants undergoing elective laparoscopic cholecystectomy, 40 participants received conventional general anaesthesia (conventional anaesthesia group) and 40 participants received conventional general anaesthesia with extra administration of intraoperative magnesium sulphate (Mg sulphate group). Read More

HPB (Oxford) 2020 May 22. Epub 2020 May 22.

Department of Surgery, Mora Hospital, Mora, Sweden; Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institute, Sweden.

Background: The aim of this study was to determine the incidence of incisional hernia (IH) in a population-based cohort following gallstone surgery and to identify associated risk factors.

Methods: All cholecystectomies registered in the Swedish register for cholecystectomy and ERCP from 2006 to 2014 were identified. Data regarding post-procedural development of IH was obtained from the National Patient Register. Read More

Int J Surg Case Rep 2020 May 15;71:116-119. Epub 2020 May 15.

Department of Gastroenterological Surgery, Ofuna Chuo Hospital, 6-2-24, Ofuna, Kamakura, Kanagawa 247-0056, Japan. Electronic address:

Introduction: Cholecystoenteric fistula (CEF) is rare in biliary tract surgery, and cholecystogastric fistula (CGF) is the rarest form of CEF. Although open cholecystectomy with the closure of the fistula is the gold standard treatment for nonobstructing biliary-enteric fistulas, the optimal treatment for CGF has not been established. Laparoscopic and endoscopic cooperative surgery (LECS), a minimally invasive surgery for gastric submucosal tumors, reportedly helps achieve favorable postoperative outcomes. Read More

Surg Endosc 2020 May 22. Epub 2020 May 22.

Department of Emergency Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, 430022, Hubei, People's Republic of China.

Background: Laparoscopic cholecystectomy (LC) is the standard treatment for acute cholecystitis (AC), and it should be performed within 72 h of symptoms onset if possible. In many undesired situations, LC was performed beyond the golden 72 h. However, the safety and feasibility of prolonged LC (i. Read More

Medicina (Kaunas) 2020 May 20;56(5). Epub 2020 May 20.

Riga East Clinical University Hospital, LV 1038 Riga, Latvia.

Opinions differ regarding the optimal diagnostic methods for patients with suspected choledocholithiasis. The aim of this study was to assess the diagnostic accuracy of laparoscopic ultrasonography (LUS) and compare it to pre-operative magnetic resonance cholangio-pancreatography (MRCP); In all patients with suspected choledocholithiasis LUS was performed during laparoscopic cholecystectomy to evaluate biliary stones. According to availability, part of the patients had pre-operative MRCP. Read More

Medicine (Baltimore) 2020 May;99(20):e20177

Department of Anesthesiology, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China.

Background: Although many studies have reported the effects of dexmedetomidine on cognitive function (CF) in elderly patients after laparoscopic cholecystectomy (LCT), to this date, its effects are still not well understood. The aim of this study is to produce a qualitative synthesis of assessing the effects of dexmedetomidine on CF in elderly patients after LCT.

Methods: We will conduct a comprehensive search in Cochrane Library, MEDLINE, EMBASE, CINAHL, PsycINFO, Scopus, VIP Database, WANGFANG Database, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure from the commencement to March 31, 2020 without restrictions of language and publication status. Read More

Medicine (Baltimore) 2020 May;99(20):e20070

Gansu Provincial Hospital, Lanzhou, Gansu.

Objective: To evaluate whether conventional postoperative drainage is more effective than not providing drainage in patients with non-complicated benign gallbladder disease following laparoscopic cholecystectomy (LC).

Methods: A search of the electronic databases MEDLINE, EMBASE, Web of science, Cochrane Library, and Chinese Biomedical Database (CBM) was conducted for randomized controlled trials (RCTs) reporting outcomes of LC surgery with and without an abdominal drain.

Results: Twenty-one RCTs involving 3246 patients (1666 with drains vs 1580 without) were included in the meta-analysis. Read More

Medicine (Baltimore) 2020 May;99(20):e20039

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine.

The role of laparoscopic radical cholecystectomy (LRC) in the surgical management of T2 gallbladder carcinoma (GBC) is still controversial.The medical records of patients with T2 GBC treated with radical cholecystectomy were retrospectively reviewed. In this study, we compare the short- and long-term oncologic outcomes, using propensity score matching analysis, of patients with T2 GBC who underwent LRC and open radical cholecystectomy (ORC). Read More

Int J Surg 2020 May 20;79:136-137. Epub 2020 May 20.

Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, IRCCS-ISMETT (Istituto di Ricovero e Cura a Carattere Scientifico-Istituto Mediterraneo per I Trapianti e Terapie Ad Alta Specializzazione), UPMC (University of Pittsburgh Medical Center) Italy, Via E. Tricomi 5, 90127, Palermo, Italy.

Sci Rep 2020 May 21;10(1):8389. Epub 2020 May 21.

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, 05505, Korea.

The visceral analgesic efficacy of erector spinae plane block (ESPB) is still a matter of debate. This study attempted to investigate the visceral analgesic efficacy of ESPB in clinical setting. After randomized, we performed ultrasound-guided bilateral rectus sheath block (RSB), which was aimed to prevent postoperative somatic pain on all patients who underwent laparoscopic cholecystectomy (LC). Read More

Hepatology 2020 May 21. Epub 2020 May 21.

Gustave L. Levy Place, New York, USA.

Hepatobiliary cancers which include Hepatocellular carcinoma (HCC) and biliary tract cancers (Cholangiocarcinoma (CCA) and Gallbladder carcinoma (GBC)) are associated with significant morbidity and mortality based on the stage of the disease at presentation. With improved screening for hepatobiliary malignancies in patients with risk factors and with widespread use of laparoscopic cholecystectomy, hepatobiliary malignancies including incidental diagnosis of GBC is on the rise. Definitive treatment of hepatobiliary malignancies include surgical resection, ablation, and liver transplantation. Read More

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):396-404

Department of General Surgery, University of Health Sciences Gülhane Training and Research Hospital, Ankara-Turkey.

Background: There is no consensus on the optimal timing for laparoscopic cholecystectomy (LC) after emergent endoscopic retrograde cholangiopancreatography (ERCP) for suspected choledocholithiasis. Although certain data suggest that an early interval or single-stage treatment by LC, together with laparoscopic bile duct exploration, has more favorable outcomes, delayed LC is most often preferred as the standard treatment of patients with gallstones and choledocholithiasis following ERCP due to lack of experience, necessary instrumentation, or organizational restrictions. This study aims to compare the effects of different time intervals between ERCP and LC on perioperative outcomes. Read More

JAMA Surg 2020 May 20. Epub 2020 May 20.

Department of Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands.

Importance: All events that transpire during laparoscopic cholecystectomy (LC) cannot be adequately reproduced in the operative note. Video recording is already known to add important information regarding this operation.

Objective: It is hypothesized that additional audio recordings can provide an even better procedural understanding by capturing the surgeons' considerations. Read More

Surg Endosc 2020 May 19. Epub 2020 May 19.

Department of Surgery, The Warren Alpert Medical School of Brown University, 195 Collyer St, Suite 302, Providence, RI, 02904, USA.

Background: Laparoscopic cholecystectomy (LC) is one of the safest, most commonly performed surgical procedures, but postoperative complications including bile leak, retained stone, cholangitis, and gallstone pancreatitis following LC occur in up to 2.6% of cases and may require readmission with possible endoscopic retrograde cholangiopancreatography (ERCP) intervention. There is a paucity of literature on factors predictive of need for ERCP following LC. Read More

J Laparoendosc Adv Surg Tech A 2020 May 19. Epub 2020 May 19.

Department of General Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Some reports assert that there is a risk that laparoscopy might worsen the prognosis of incidental gallbladder carcinoma (IGBC) after laparoscopic cholecystectomy (LC) compared with open reoperation. The purpose of this study was to evaluate whether the surgical approach influences outcomes in patients with IGBC after LC. We retrospectively reviewed the medical records of 106 patients diagnosed with IGBC who had undergone LC for benign gallbladder disease such as cholecystolithiasis at our hospital between April 2010 and February 2018. Read More

Ann Med Surg (Lond) 2020 Jun 5;54:101-105. Epub 2020 May 5.

PGY4 General Surgery Resident, UCE, Quito, Ecuador.

Background: Situs inversus totalis is a rare genetic condition characterized by the transposition of organs to the opposite side of the body, consequently, clinical syndromes show an atypical clinical picture creating a challenge for the surgery team and predisposing to delays in treatment and diagnosis. Laparoscopic cholecystectomy is the gold standard for acute cholecystitis, and in patients with situs inversus, the laparoscopic technique must be modified to accommodate the patient's anatomy.

Case Presentation: We present the case of a 55-year-old male patient without any past medical history, he presented to the emergency room with abdominal pain in his upper left quadrant. Read More

World J Gastrointest Surg 2020 Apr;12(4):159-170

Department of Surgery, Division of Surgical Oncology at The Ohio State University, James Cancer Center, Columbus, OH 43210, United States.

Background: Although surgical resection is associated with the best long-term outcomes for neuroendocrine liver metastases (NELM), the current indications for and outcomes of surgery for NELM from a population perspective are not well understood.

Aim: To determine the current indications for and outcomes of liver resection (LR) for NELM using a population-based cohort.

Methods: A retrospective review of the 2014-2017 American College of Surgeons National Surgical Quality Improvement Program and targeted hepatectomy databases was performed to identify patients who underwent LR for NELM. Read More

BMC Nurs 2020 11;19:38. Epub 2020 May 11.

2Federal Fluminense University, CNPq researcher, Rio de Janeiro, Brazil.

Background: Patient undergoing surgery may be afraid and concerned about the diagnosis, the treatment, the procedure, the postoperative care, and the surgical recovery. Good communication between staff and patients can minimize or prevent this situation. This study aimed to evaluate the effectiveness of a Telecare nursing intervention, "Telephone consultation", in reducing the "Delayed surgical recovery" nursing diagnosis in patients undergoing laparoscopic cholecystectomy and hernia repair. Read More

JSLS 2020 Apr-Jun;24(2)

Department of General Surgery, University Hospital Monklands, Airdrie, Lanarkshire, United Kingdom.

Objectives: We aim to evaluate our policy of index admission management of gall bladder empyema and the effect of the timing of surgery on the outcomes.

Methods: We analyzed a series of 5400 laparoscopic cholecystectomies. Data were collected prospectively over 26 y. Read More

Int J Surg Case Rep 2020 May 12;70:230-233. Epub 2020 May 12.

Department of Surgery, Asfendiyarov Kazakh National Medical University, 050012 Almaty, Kazakhstan; City Clinical Hospital No. 4, 050054 Almaty, Kazakhstan.

Introduction: The widespread development of minimally invasive treatment methods have expanded the choices and options available to surgeons to manage patients suffering from cholelithiasis and its complications, including choledocholithiasis. As new surgical strategies are developed and become widely available, there is an ongoing debate as to which surgical strategies are optimal for the management of acute cholecystitis and concomitant choledocholithiasis. The treatment of patients in this category should be carried out according to clear criteria, taking into consideration the patient's condition, concomitant diseases, the size of calculi in the common bile duct as well as the resources of the medical institution. Read More

Biomed Res Int 2020 28;2020:1924134. Epub 2020 Apr 28.

Department of General Surgery, Chengdu Third People's Hospital & the Affiliated Hospital of Southwest Jiaotong University & the Second Medical School of Medical School of Chengdu Affiliated to Chongqing Medical University, Chengdu, Sichuan 610031, China.

We aimed to perform a systematic review and meta-analysis on the safety of laparoscopic cholecystectomy performed in the day surgery unit versus those performed in the inpatient unit. Several databases including Ovid Embase, Medline Ovid, Cochrane Central, Web of Science, and Google Scholar were searched from inception through February 2019. Our results revealed that laparoscopic cholecystectomy can be conducted safely and effectively in day surgery units, helping bed shortage. Read More

Hernia 2020 May 16. Epub 2020 May 16.

Comprehensive Hernia Center, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.

Purpose: Unlike routine ventral hernia repair, abdominal wall reconstruction (AWR) can results in large pieces of mesh and extensive manipulation of the intra-abdominal contents, rendering subsequent laparoscopic cholecystectomy challenging. This study addresses the additional wound morbidity of concomitant cholecystectomy.

Methods: The Americas Hernia Society Quality Collaborative (AHSQC) was retrospectively reviewed and logistic regression modeling was used to control for multiple covariates. Read More

Surg Endosc 2020 May 15. Epub 2020 May 15.

Organ Transplant Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, People's Republic of China.

Background: Various training models have been developed for laparoscopic training. Inanimate models including cadavers, ex-vivo simulator, and virtual reality (VR), are less realistic and often fail to display specific events such as bleeding, bile leakage, etc. Animal models provide more realistic experience, but constraints like cost involved, anesthetic requirement, and ethical approval have limited its application. Read More

Cureus 2020 Apr 12;12(4):e7656. Epub 2020 Apr 12.

Surgery, Nippon Medical School, Tokyo, JPN.

Herein we report a case of laparoscopic cholecystectomy in a 26-year-old pregnant woman with no remarkable medical history. Laparoscopic cholecystectomy was performed at 21 weeks of gestation. To prevent uterus injury, the first trocar was inserted into the right hypochondrium using the open method after marking the site of the uterus via ultrasonography. Read More

Cureus 2020 Apr 12;12(4):e7655. Epub 2020 Apr 12.

General Surgery, St. Michael's Medical Center, Newark, USA.

The use of specimen retrieval bags in elective laparoscopic cholecystectomies remains a customary practice intended to reduce surgical site infections. The lack of supporting evidence suggests that specimen bags may not be necessary. Thus, we present an alternative approach without the use of disposable instruments to reduce excessive healthcare costs while maintaining comparable surgical outcomes. Read More

Surg Endosc 2020 May 13. Epub 2020 May 13.

CMR Surgical Ltd, 1 Evolution Business Park, Milton Road, Cambridge, CB24 9NG, UK.

Objective: To evaluate the utility of a new robot-assisted surgical system (the Versius Surgical System, CMR Surgical, Cambridge, UK) for use in minimal access general and colorectal surgery, in a preclinical setting. Robot-assisted laparoscopy has been developed to overcome some of the important limitations of conventional laparoscopy. The new system is designed to assist surgeons in performing minimal access surgery and overcome some of the challenges associated with currently available surgical robots. Read More

Ann Surg 2020 May 12. Epub 2020 May 12.

Indiana University School of Medicine, Indianapolis, IN.

Background: BDI is the most common serious complication of laparoscopic cholecystectomy. To address this problem, a multi-society consensus conference was held to develop evidenced-based recommendations for safe cholecystectomy and prevention of BDI.

Methods: Literature reviews were conducted for 18 key questions across 6 broad topics around cholecystectomy directed by a steering group and subject experts from 5 surgical societies (Society of Gastrointestinal and Endoscopic Surgeons, Americas Hepato-Pancreato-Biliary Association, International Hepato-Pancreato-Biliary Association, Society for Surgery of the Alimentary Tract, and European Association for Endoscopic Surgery). Read More

Surg Endosc 2020 Jul 12;34(7):2827-2855. Epub 2020 May 12.

Indiana University School of Medicine, Indianapolis, IN, USA.

Background: Bile duct injury (BDI) is the most common serious complication of laparoscopic cholecystectomy. To address this problem, a multi-society consensus conference was held to develop evidenced-based recommendations for safe cholecystectomy and prevention of BDI.

Methods: Literature reviews were conducted for 18 key questions across six broad topics around cholecystectomy directed by a steering group and subject experts from five surgical societies (SAGES, AHPBA IHPBA, SSAT, and EAES). Read More

Cureus 2020 Apr 11;12(4):e7641. Epub 2020 Apr 11.

General Surgery, Central Michigan University College of Medicine, Saginaw, USA.

Background The robotic approach in surgery is becoming more widely used in many subspecialties. Robot-assisted laparoscopic procedures provide potential improvements in clinical outcomes due to improved visualization and enhanced surgical ergonomics. In this study, we measured and compared outcomes of robot-assisted laparoscopic cholecystectomy with the conventional laparoscopic technique, as well as the implications for the training of surgical residents. Read More

Case Rep Gastroenterol 2020 Jan-Apr;14(1):234-241. Epub 2020 Apr 28.

Department of General Surgery, Al-Assad University Hospital, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.

Iatrogenic porta hepatis injury is a rare but devastating surgical complication of laparoscopic cholecystectomy. There are no systematic studies examining the best treatment strategy in patients with this injury. We present a case of a 23-year-old woman with a large abscess in the right hepatic lobe due to an extreme vasculobiliary injury after laparoscopic cholecystectomy. Read More

Eur J Gastroenterol Hepatol 2020 May 8. Epub 2020 May 8.

Department of Infectious Diseases, Singapore General Hospital, Singapore.

Laparoscopic cholecystectomy and liver resections are commonly performed surgical procedures which require no or less (cefazolin only) antimicrobial prophylaxis respectively in light of recent evidence. To assess the validity of this data in the local context and increase compliance to such regimens, a multi-modal intervention including, changes to hospital antibiotic prophylaxis guidelines, departmental emphasis, IT aids (involving the creation of order templates within our electronic medical system) and physical aids (in the form of cards given to junior staff) was implemented. Results comparing a 6-month preintervention period (January 2018 to June 2018) showed no significant increase in 30-day hospital readmission rates (P = 0. Read More

Ann Surg 2020 May 8. Epub 2020 May 8.

Division of General Surgery, Department of Surgery University of Toronto, Toronto, Canada.

Objective: Describe clinical outcomes (eg, postoperative complications, survival) after robotic surgery compared to open or laparoscopic surgery.

Background: Robotic surgery utilization has increased over the years across a wide range of surgical procedures. However, evidence supporting improved clinical outcomes after robotic surgery is limited. Read More

Surg Laparosc Endosc Percutan Tech 2020 May 4. Epub 2020 May 4.

Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

Backgrounds: The term "elderly" seems to have been used as "vulnerable to various stresses" but not well defined. To define the "elderly", we investigated whether the increased age causes unfavorable changes in several immunoinflammatory indices that indicate the increased vulnerability in the surgical field.

Patients And Methods: One-hundred forty-two patients undergoing an elective-uncomplicated laparoscopic cholecystectomy (within 60 min and without intraoperative-cholangiography, bile spillage, or open conversion) were retrospectively investigated. Read More

ANZ J Surg 2020 May 12. Epub 2020 May 12.

Hunter Surgical Clinical Research Unit, John Hunter Hospital, Newcastle, New South Wales, Australia.

Background: Opioid over-prescription following surgery is a significant public health issue in most developed countries. Multiple studies have been conducted in the USA demonstrating and investigating the issue; however, there is a lack of literature addressing this topic in the Australian setting. The aim of this study is to review prescribing practices at an Australian tertiary referral hospital on discharge in patients having undergone laparoscopic cholecystectomy (LC) or laparoscopic appendicetomy (LA). Read More

Surg Endosc 2020 May 11. Epub 2020 May 11.

Department of Gastroenterological Surgery, Tokyo Medical University Ibaraki Medical Center, 3-20-1 Chuo, Ami, Ibaraki, 300-0395, Japan.

Background: Laparoscopic cholecystectomy (LC) is regarded as the first choice for patients with gallbladder diseases, but biliary injury (BDI) still poses serious risks upon implementation of LC. Recently, bailout surgery (BOS; partial cholecystectomy or subtotal cholecystectomy) has been proposed to avoid not only BDI but also major vessels injuries. In this retrospective study, we evaluated the preoperative and perioperative risk factors regarding conversion from total cholecystectomy (TC) to BOS. Read More