5,323 results match your criteria Cholecystectomy Open


The effectiveness of handout assisted versus verbal consent on post-operative recall and understanding - A randomized control study.

Surgeon 2021 May 8. Epub 2021 May 8.

Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia. Electronic address:

Background: Consent is an important component of surgical care. Poorly attempted consent bears significant ethical and legal implications. We assessed the effectiveness of handouts in improving postoperative consent understanding and recall compared to standard verbal consent during laparoscopic cholecystectomy as a tool that may improve information retention and leads to better treatment satisfaction. Read More

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Early late cholecystectomy in mild gall stone pancreatitis: An updated meta-analysis and review of literature.

World J Clin Cases 2021 May;9(13):3038-3047

Department of Medicine, University of Illinois-Peoria, Peoria, IL 61604, United States.

Background: Gallstone pancreatitis is one of the most common causes of acute pancreatitis. Cholecystectomy remains the definitive treatment of choice to prevent recurrence. The rate of early cholecystectomies during index admission remains low due to perceived increased risk of complications. Read More

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Acute hemorrhagic cholecystitis with gallbladder rupture and massive intra-abdominal hemorrhage.

Autops Case Rep 2021 Jan 28;11:e2020232. Epub 2021 Jan 28.

University of Michigan, Michigan Medicine, Department of Surgery, Ann Arbor, Michigan, USA.

Acute hemorrhagic cholecystitis is a rare, life-threatening condition that can be further complicated by perforation of the gallbladder. We describe a patient with clinical and radiologic findings of acute cholecystitis with a gallbladder rupture and massive intra-abdominal bleeding. Our patient is a 67-year-old male who presented with an ischemic stroke and was treated with early tissue plasminogen activator. Read More

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January 2021

Routine Histopathological Examination of the Specimen After Laparoscopic Cholecystectomy: Can We Be Brave Enough to Give Up?

Turk J Gastroenterol 2021 Feb;32(2):218-224

Department of General Surgery, Gazi University School of Medicine, Ankara, Turkey.

Background: Selective versus routine histopathological examination after cholecystectomy is still in debate. This study aims to investigate the effect of histopathology results on treatment modality and surgery strategy. The validity of the selective histopathology approach was questioned. Read More

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February 2021

False Negative Hepatobiliary Iminodiacetic Acid (HIDA) Scan in a Case of Gall Bladder Perforation.

Cureus 2021 Apr 1;13(4):e14247. Epub 2021 Apr 1.

Pulmonary, Interfaith Medical Center, Brooklyn, USA.

Gall bladder perforation (GBP) is a rare and life-threatening complication of acute cholecystitis that requires immediate intervention. The diagnosis itself poses a diagnostic challenge, if the patient presents after the perforation of the gall bladder, especially if the initial imaging techniques such as ultrasonogram (US), computed tomography (CT) scan, hepatobiliary iminodiacetic acid (HIDA) scan and magnetic resonance cholangiopancreatography (MRCP) are inconclusive. Subtle clues such as free fluid around gall bladder and contracted gall bladder should warrant the clinician as these might be the only clues suggestive of gall bladder perforation. Read More

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Haemobilia secondary to a cystic artery pseudoaneurysm as complication of VLC.

Acta Biomed 2021 Apr 30;92(S1):e2021125. Epub 2021 Apr 30.

Department of Surgery, Department of Applied Clinical Science and Biotechnology, University of L'Aquila, L'Aquila.

Introduction: The laparoscopic approach has become the gold standard for cholecystectomy. However, it could have some major complications. Among them, it can be considered postoperative pseudoaneurysms of the cystic or hepatic arteries. Read More

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A meta-analysis of the use of intraoperative cholangiography; time to revisit our approach to cholecystectomy?

Surg Open Sci 2021 Jan 15;3:8-15. Epub 2020 Aug 15.

Department of Surgery, Letterkenny University Hospital and Donegal Clinical Research Academy, Letterkenny, County Donegal, Ireland.

Background: Despite some evidence of improved survival with intraoperative cholangiography during cholecystectomy, debate has raged about its benefit, in part because of its questionable benefit, time, and resources required to complete.

Methods: An International Prospective Register of Systematic Reviews-registered (ID CRD42018102154) meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using PubMed, Scopus, Web of Science, and Cochrane library from 2003 to 2018 was undertaken including search strategy "intraoperative AND cholangiogra* AND cholecystectomy." Articles scoring ≥ 16 for comparative and ≥ 10 for noncomparative using the Methodological Index for Non-Randomized Studies criteria were included. Read More

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January 2021

The obesity paradox: Underweight patients are at the greatest risk of mortality after cholecystectomy.

Surgery 2021 Apr 28. Epub 2021 Apr 28.

Cardiovascular Outcomes Research Laboratories, David Geffen School of Medicine, University of California, Los Angeles, CA. Electronic address:

Background: Elevated body mass index is a risk factor for gallstone disease and cholecystectomy, but outcomes for low body mass index patients remain uncharacterized. We examined the association of body mass index with morbidity, mortality, and resource use after cholecystectomy.

Methods: The 2005 to 2016 American College of Surgeons National Surgical Quality Improvement Program was retrospectively analyzed for adult patients undergoing laparoscopic and open cholecystectomy. Read More

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Risks associated with subtotal cholecystectomy and the factors influencing them: A systematic review and meta-analysis of 85 studies published between 1985 and 2020.

Surgery 2021 Apr 26. Epub 2021 Apr 26.

Department of General Surgery, Liverpool University Hospitals NHS Foundation Trust, United Kingdom. Electronic address:

Background: Subtotal cholecystectomy is recognized as a rescue procedure performed in grossly suboptimal circumstances that would deem a total cholecystectomy too risky to execute. An earlier systematic review based on 30 studies published between 1985 and 2013 concluded that subtotal cholecystectomy had a morbidity rate comparable to that of total cholecystectomy. This systematic review appraises 17 clinical outcomes in patients undergoing subtotal cholecystectomy. Read More

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Should Common Bile Duct Exploration for Choledocholithiasis Be a Specialist-Only Procedure?

J Laparoendosc Adv Surg Tech A 2021 Apr 28. Epub 2021 Apr 28.

Division of Surgery, Northern Health, Epping, Australia.

Common bile duct exploration (CBDE) is performed uncommonly. Issues surrounding its uptake in the laparoscopic era include perceived difficulty and lack of training. We aim to determine the success of CBDE performed by "specialist" and "nonspecialist" common bile duct (CBD) surgeons to determine whether there is a substantial difference in success and safety. Read More

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Laparoscopic cholecystectomy for acute cholecystitis: onset of symptoms and severity grade as a tool for choosing the optimal timing.

Minerva Surg 2021 Apr 23. Epub 2021 Apr 23.

Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.

Background: Acute cholecystitis is an acute inflammation of the gallbladder. It represents one-third of all surgical emergency hospital admissions and has significant socioeconomic impact. Laparoscopic cholecystectomy, regardless of age, is the gold standard for this disease, but the optimal timing of surgical intervention is an open issue since Tokyo guidelines 2007. Read More

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Laparoscopic surgery and robotic surgery for single-incision cholecystectomy: an updated systematic review.

Updates Surg 2021 Apr 22. Epub 2021 Apr 22.

Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.

The role of single-incision laparoscopic cholecystectomy (SILC) and single-incision robotic cholecystectomy (SIRC) is still unclear. We update the summarization of the feasibility and safety of SILC and SIRC. A comprehensive search of SILC and SIRC of English literature published on PubMed database between January 2015 and November 2020 was performed. Read More

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Combined portal vein, hepatic artery and bile duct injury during open cholecystectomy.

ANZ J Surg 2021 Apr 22. Epub 2021 Apr 22.

Cardiothoracic and Vascular Surgery (CTVS), Department of Surgery, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.

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Cholelithiasis and cholecystitis in children and adolescents: Does this increasing diagnosis require a common guideline for pediatricians and pediatric surgeons?

BMC Gastroenterol 2021 Apr 21;21(1):186. Epub 2021 Apr 21.

Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Pediatric Surgery, Department of Surgery, University Hospital Erlangen, Erlangen, Germany.

Background: In contrast to adults, for whom guidelines on the cholelithiasis treatment exist, there is no consistent treatment of pediatric patients with cholelithiasis throughout national and international departments, most probably due to the lack of evidence-based studies.

Methods: We evaluated the German management of pediatric cholelithiasis in a dual approach. Firstly, a retrospective, inter-divisional study was established, comparing diagnostics and therapy of patients of the pediatric surgery department with the management of patients aged < 25 years of the visceral surgery department in our institution over the past ten years. Read More

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Cholecystectomy with Thoracic Epidural Anesthesia in Geriatric Patients.

J Coll Physicians Surg Pak 2021 Apr;30(4):445-449

Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, Karadeniz Technical University, Hospital, Trabzon, Turkey.

Objective: To determine the outcome of thoracic epidural anaesthesia in open cholecystectomy procedures of comorbid advanced elderly patients.

Study Design: Observational study.

Place And Duration Of Study: Faculty of Medicine, Karadeniz Technical University Hospital, Trabzon, Turkey during 2014-2019. Read More

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SIMULTANEOUS HIATAL HERNIA PLASTICS WITH FUNDOPLICATION, LAPAROSCOPIC CHOLECYSTECTOMY AND UMBILICAL HERNIA REPAIR.

Wiad Lek 2021 ;74(1):168-171

KHARKIV MEDICAL ACADEMY OF POSTGRADUATE EDUCATION, KHARKIV, UKRAINE.

The article presents a case report of patients with multimorbid pathology - hiatal hernia with gastroesophageal reflux disease, cholecystolithiasis and umbilical hernia. Simultaneous surgery was performed in all cases - laparoscopic hiatal hernia with fundoplication, laparoscopic cholecystectomy and umbilical hernia alloplasty (in three cases - by IPOM (intraperitoneal onlay mesh) method and in one - hybrid alloplasty - open access with laparoscopic imaging). After the operation in one case there was an infiltrate of the trocar wound, in one case - hyperthermia, which were eliminated by conservative methods. Read More

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Operating costs, fiscal impact, value analysis and guidance for the routine use of robotic technology in abdominal surgical procedures.

Surg Endosc 2021 Apr 9. Epub 2021 Apr 9.

PSJH Finance Institute, Renton, WA, USA.

Background: This study was designed to define the value, cost, and fiscal impact of robotic-assisted procedures in abdominal surgery and provide clinical guidance for its routine use.

Methods: 34,984 patients who underwent an elective cholecystectomy, colectomy, inguinal hernia repair, hysterectomy, or appendectomy over a 24-month period were analyzed by age, BMI, risk class, operating time, LOS and readmission rate. Average Direct and Total Cost per Case (ADC, TCC) and Net Margin per Case (NM) were produced for each surgical technique, i. Read More

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Safety of Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly: A Multivariate Analysis of Risk Factors for Intra and Postoperative Complications.

Medicina (Kaunas) 2021 Mar 2;57(3). Epub 2021 Mar 2.

3rd Department Surgery, Faculty of Medicine, "Lucian Blaga" University Sibiu, 550169 Sibiu, Romania.

This study investigates the impact of age upon the safety and outcomes of laparoscopic cholecystectomy performed for acute cholecystitis, by a multivariate approach. A 2-year retrospective study was performed on 333 patients admitted for acute cholecystitis who underwent emergency cholecystectomy. The patients included in the study group were divided into four age subgroups: A ≤49 years; B: 50-64 years; C: 65-79 years; D ≥80 years. Read More

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Influence of normograde versus retrograde catheterization of bile ducts in dogs treated for gallbladder mucocele.

Vet Surg 2021 May 1;50(4):784-793. Epub 2021 Apr 1.

Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, Illinois, USA.

Objective: To determine the influence of normograde (NG) versus retrograde (RG) catheterization of the cystic duct and common bile duct (CBD) in dogs with gallbladder mucoceles (GBM) treated with open cholecystectomy.

Study Design: Retrospective study.

Animals: Dogs (n = 117) with GBM. Read More

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Complicated Acute Cholecystitis: The Role of C-Reactive Protein and Neutrophil-Lymphocyte Ratio as Predictive Markers of Severity.

Cureus 2021 Feb 27;13(2):e13592. Epub 2021 Feb 27.

General Surgery, Luton & Dunstable University Hospital NHS Foundation Trust, Luton, GBR.

Objectives The clinical diagnosis of complicated acute cholecystitis (CAC) remains difficult with several pathological or ultrasonography criteria used to differentiate it from uncomplicated acute cholecystitis (UAC). This study aims to evaluate the use of combined inflammatory markers C-reactive protein (CRP) and neutrophil-to-lymphocyte ratio (NLR) as surrogate markers to differentiate between UAC and CAC. Methods We identified 600 consecutive patients admitted with biliary symptoms during an acute surgical take from our electronic prospectively maintained database over a period of 55 months. Read More

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February 2021

The Novel Use of an External Oblique Nerve Catheter After Open Cholecystectomy.

Cureus 2021 Feb 26;13(2):e13580. Epub 2021 Feb 26.

Anesthesiology, University of Massachusetts Medical School-Baystate, Springfield, USA.

Open cholecystectomy is a painful procedure and requires a well-rounded multimodal approach for successful postoperative analgesia. A thoracic epidural is known to provide reliable pain relief for upper abdominal surgical procedures. However, in patients for whom an epidural is contraindicated, an alternative regional technique may be sought. Read More

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February 2021

Gallbladder adenoma in a domestic shorthair cat.

JFMS Open Rep 2021 Jan-Jun;7(1):2055116921997665. Epub 2021 Mar 14.

Finn Pathologists, Harleston, UK.

A 13-year-old neutered female domestic shorthair rescue cat presented asymptomatically with raised hepatic enzymes following a routine pre-anaesthetic blood test. Cholangitis was suspected, and supportive treatment with 2 weeks of amoxicillin-clavulanic acid and 4 weeks of ursodeoxycholic acid and -adenosylmethionine was trialled, with no improvement in biochemistry parameters. Clinicopathological investigations also revealed a markedly raised total bilirubin and abnormal bile acid stimulation test. Read More

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Successful treatment of emphysematous cholecystitis by laparoscopic surgery.

J Surg Case Rep 2021 Mar 25;2021(3):rjab080. Epub 2021 Mar 25.

Division of Surgery, JA Mie Inabe General Hospital, Inabe, Japan.

Emphysematous cholecystitis (EC) is a severe and rare variant of acute cholecystitis characterized by ischemia of the gallbladder wall with gas-forming bacterial proliferation. Open cholecystectomy is traditionally the gold standard approach to treatment due to difficulty in isolating Calot's triangle in the setting of intense inflammation. We present a case of EC successfully and safely treated by laparoscopic surgery. Read More

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Out-of-hours cholecystectomy: aspiration is a safer bail-out option than open conversion.

Br J Surg 2021 Apr;108(3):e117-e118

Department of Surgery, Royal College of Surgeons in Ireland, Medical University of Bahrain, Adiya, Bahrain.

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Giant Calculus with More than 100 Small Calculi in Choledochal Cysts.

Case Rep Gastroenterol 2021 Jan-Apr;15(1):244-252. Epub 2021 Feb 26.

Department of Surgery, Dr. Hedgewar Arogya Sansthan, Delhi, India.

Giant biliary calculus in the common bile duct (CBD) is rare. Giant calculus of choledochal cyst (CC) is even rarer, and no case of giant calculus of CC with more than 100 calculi has been reported in the indexed literature. We present the case of a 8. Read More

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February 2021

Recommendation for cholecystectomy protocol based on intraoperative ultrasound - a single-centre retrospective case-control study.

Wideochir Inne Tech Maloinwazyjne 2021 Mar 27;16(1):54-61. Epub 2020 Mar 27.

Department of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, Wroclaw, Poland.

Introduction: There is a strong need to make laparoscopic cholecystectomy as safe as possible, but sometimes complications in the form of bile duct and/or vascular injury occur. The safe plane of dissection can be precisely identified with intraoperative ultrasound, ensuring reduction of the complication rate to a minimum.

Aim: To evaluate the advantages of the cholecystectomy protocol based on the use of intraoperative ultrasound during laparoscopic and open cholecystectomy. Read More

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Mirizzi syndrome from type I to Vb: a single center experience.

Turk J Surg 2020 Dec 29;36(4):399-404. Epub 2020 Dec 29.

Department of Surgery, Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Mexico.

Objectives: The present study describes a cohort of patients diagnosed with Mirizzi syndrome from type I to Vb, over a period of four years. It aimed to identify diagnostic and management pitfalls of Mirizzi syndrome, as well as their concomitant cholecystobiliary or cholecystoenteric fistulas.

Material And Methods: We retrospectively reviewed all electronic medical records of patients who underwent surgery for Mirizzi syndrome at a single institution. Read More

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December 2020

Laparoscopic cholecystectomy in patients with previous upper midline abdominal surgery: comparison of laparoscopic cholecystectomy after gastric surgery and non-gastric surgery using propensity score matching.

Surg Endosc 2021 Mar 26. Epub 2021 Mar 26.

Department of Surgery, Gachon University Gil Medical Center, Gachon University School of Medicine, Namdong-daero, Namdong-gu, Incheon, 774-2121565, Korea.

Background: Previous upper midline abdominal surgery is a reported relative contraindication to laparoscopic cholecystectomy. We aimed to investigate the effects of previous upper abdominal surgery on the feasibility and safety of laparoscopic cholecystectomy; we evaluated the effects of the previous upper abdominal surgery type on laparoscopic cholecystectomy with respect to complications and conversion to open surgery.

Methods: We prospectively evaluated 1,258 patients who underwent laparoscopic cholecystectomy, including those who underwent upper midline abdominal surgery previously, at a single tertiary referral center. Read More

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Protocol for a randomised controlled trial comparing laparoscopic cholecystectomy with observation/conservative management for preventing recurrent symptoms and complications in adults with uncomplicated symptomatic gallstones (C-Gall trial).

BMJ Open 2021 Mar 25;11(3):e039781. Epub 2021 Mar 25.

Health Services Research Unit, University of Aberdeen Health Services Research Unit, Aberdeen, UK.

Background: Gallstone disease (cholelithiasis) is common. In most people it is asymptomatic and does not require treatment, but in about 20% it can become symptomatic, causing pain and other complications requiring medical attention and/or surgery. A proportion of symptomatic people with uncomplicated gallstone disease do not experience further episodes of pain and, therefore, could be treated conservatively. Read More

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Routine postoperative blood tests fail to reliably predict procedure-related complications after laparoscopic cholecystectomy.

Langenbecks Arch Surg 2021 Mar 24. Epub 2021 Mar 24.

Department of General, Visceral and Transplantation Surgery, University Hospital of Tuebingen, Hoppe-Seyler-Straße 3, 72076, Tuebingen, Germany.

Purpose: Laparoscopic cholecystectomy is a highly standardized surgical procedure with a low risk of complications. However, once complications develop, they can be life-threatening. The aim of this study was to evaluate the value of blood tests on postoperative day one regarding their potential to predict postoperative complications METHODS: A cohort study of 1706 consecutive cholecystectomies performed at a tertiary hospital and teaching facility over a 5-year period between 2014 and 2019. Read More

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