4,773 results match your criteria Cholecystectomy Open


Intraluminal duodenal ("windsock") diverticulum: a rare cause of biliary obstruction and acute pancreatitis in the adult.

Endosc Int Open 2019 Jan 15;7(1):E87-E89. Epub 2019 Jan 15.

Department of Surgery, University Hospital "Saint Marina", Pleven, Bulgaria.

An intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly, which is a result of incomplete recanalization of the foregut lumen during embryonic development. Most patients are asymptomatic. Symptoms usually occur after the third decade of life and mainly include epigastric pain, nausea, vomiting, or bloating. Read More

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http://dx.doi.org/10.1055/a-0808-3834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333535PMC
January 2019

Laparoscopic cholecystectomy after endoscopic treatment of choledocholithiasis: a retrospective comparative study.

Updates Surg 2019 Jan 14. Epub 2019 Jan 14.

Department of General and Endoscopic Surgery, Hospital General Dr. Manuel Gea González, Calzada de Tlalpan 4800, Mexico City, 14090, Mexico.

Patients with combined choledocholithiasis and cholecystitis require treatment of both diseases. The aim of our study was to analyze perioperative results of next-day (< 24 h) vs. early (> 24 h) laparoscopic cholecystectomy (LC) after endoscopic clearance of common bile duct stones. Read More

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http://dx.doi.org/10.1007/s13304-019-00624-5DOI Listing
January 2019

The heavy price of conversion from laparoscopic to open procedures for emergent cholecystectomies.

Am J Surg 2018 Dec 21. Epub 2018 Dec 21.

Department of Surgery, Howard University Hospital and College of Medicine, Washington, DC, USA. Electronic address:

Background: Laparoscopic cholecystectomy (LC) is the standard operative intervention for gallbladder disease. Complications may necessitate conversion to an open cholecystectomy (OC). This study aims to determine the cost-consequences of laparoscopic-to-open conversion using a nationally-representative sample. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.12.038DOI Listing
December 2018

Biliary Disease in Immunocompromised Patients: a Single-Center Retrospective Analysis.

J Gastrointest Surg 2019 Jan 11. Epub 2019 Jan 11.

Mount Sinai Department of General Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, 15th floor, New York, NY, 10029, USA.

Background: Acute cholecystitis is a life-threatening disease process in immunocompromised patients. The purpose of this study is to determine the incidence, clinical course, and management of calculous and acalculous acute cholecystitis in immunocompromised patients.

Methods: A single center's database was queried for all patients with a diagnosis of acute cholecystitis from January 1, 2003 to September 30, 2016 with concomitant diagnosis of neutropenia, leukopenia, leukemia, or lymphoma. Read More

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http://dx.doi.org/10.1007/s11605-018-04077-wDOI Listing
January 2019
1 Read

Percutaneous extraction of residual post-cholecystectomy gallstones through the T-tube tract.

Pol J Radiol 2018 7;83:e183-e188. Epub 2018 May 7.

Department of Interventional Radiology and Neuroradiology, Medical University in Lublin, Poland.

Purpose: In the present study, the effectiveness and safety of minimally invasive percutaneous extraction of residual post-cholecystectomy gallstones through the T-tube tract were assessed.

Material And Methods: Between 2000 and 2015, 12 patients (seven women and five men, mean age 78 ± 8 years) after open cholecystectomy with common bile duct exploration and T-tube drainage underwent percutaneous extraction of residual gallstones through the T-tube tract.

Results: The intervention was successful in 92% (11/12). Read More

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https://www.termedia.pl/doi/10.5114/pjr.2018.75811
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http://dx.doi.org/10.5114/pjr.2018.75811DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323596PMC
May 2018
1 Read

Enabling single-site laparoscopy: the SPORT platform.

Surg Endosc 2019 Jan 8. Epub 2019 Jan 8.

IHU-Strasbourg Institute of Image-Guided Surgery, 1, place de l'Hôpital, 67091, Strasbourg Cedex, France.

Background: The Single Port Orifice Robotic Technology (SPORT) Surgical System by Titan Medical Inc. is designed to overcome the inherent challenges of minimally invasive single-access procedures. The aim of this preclinical study was to evaluate the feasibility of various digestive surgery procedures using this novel surgical robotic platform. Read More

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http://link.springer.com/10.1007/s00464-018-06658-x
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http://dx.doi.org/10.1007/s00464-018-06658-xDOI Listing
January 2019
2 Reads

Laparoscopic management of intra-hepatic gallbladder perforation.

J Minim Access Surg 2019 Jan 4. Epub 2019 Jan 4.

Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.

Intra-hepatic perforation of the gallbladder (GB) leading to hepatic abscess is a serious and rare complication of cholecystitis, with very few sporadically reported cases in the literature. Hence, there is no standard approach to treat it. A thorough radiological evaluation with computed tomography and endoscopic retrograde cholangiopancreatography is necessary before proceeding with surgery in such cases. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_267_18DOI Listing
January 2019
4 Reads

Randomized Trial of Near-infrared Incisionless Fluorescent Cholangiography.

Ann Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of General Surgery, Cleveland Clinic Florida, Weston, FL.

Background: Incisionless near-infrared fluorescent cholangiography (NIFC) is emerging as a promising tool to enhance the visualization of extrahepatic biliary structures during laparoscopic cholecystectomies.

Methods: We conducted a single-blind, randomized, 2-arm trial comparing the efficacy of NIFC (n = 321) versus white light (WL) alone (n = 318) during laparoscopic cholecystectomy. Using the KARL STORZ Image1 S imaging system with OPAL1 technology for NIR/ICG imaging, we evaluated the detection rate for 7 biliary structures-cystic duct (CD), right hepatic duct (RHD), common hepatic duct, common bile duct, cystic common bile duct junction, cystic gallbladder junction (CGJ), and accessory ducts -before and after surgical dissection. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003178DOI Listing
January 2019
5 Reads

Influence of IL-6, TNF-α and Hs-CRP on Insulin Sensitivity in Patients after Laparoscopic Cholecystectomy or Open Hernia Repair.

J Med Biochem 2018 Jul 1;37(3):328-335. Epub 2018 Jul 1.

Clinic for Endocrinology, Diabetes and Diseases of Metabolism, Clinical Center of Serbia, Belgrade, Serbia.

Background: The aim of this study was to investigate the influence of IL-6, TNF-α and hs-CRP on insulin sensitivity during postoperative follow-up in patients with laparoscopic cholecystectomy (LC) or open hernia repair (OHR).

Methods: 65 patients were studied: after laparoscopic cholecystectomy (LC; n=40) or open hernia repair (OHR; n=25). Glucose, insulin, hs-CRP, IL-6 and TNF-a were determined at day 0 (before the operation) and at days 1, 3 and 7 (after the operation). Read More

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http://content.sciendo.com/view/journals/jomb/37/3/article-p
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http://dx.doi.org/10.1515/jomb-2017-0043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298464PMC
July 2018
1 Read

Defining the optimal analgesic strategy for erector spinae plane (ESP) blocks in unanticipated open cholecystectomy.

Korean J Anesthesiol 2018 Dec 28. Epub 2018 Dec 28.

Department of Anesthesiology and Pain Medicine, University of Montréal, Maisonneuve-Rosemont Hospital, 5415 Boulevard de l'Assomption, Montréal, QCH1T2M4, Canada.

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http://dx.doi.org/10.4097/kja.d.18.00350DOI Listing
December 2018

Clinical outcomes of laparoscopic cholecystectomy in elderly patients after preoperative assessment and optimization of comorbidities.

Ann Hepatobiliary Pancreat Surg 2018 Nov 27;22(4):374-379. Epub 2018 Nov 27.

Department of Surgery, National Medical Center, Seoul, Korea.

Backgrounds/aims: Early laparoscopic cholecystectomy is considered as the standard treatment of acute cholecystitis. However, whether this procedure is desirable in elderly patients with acute cholecystitis is not clearly elucidated. In this study, we aimed to evaluate the effects of thorough preoperative assessment and consultation for complications on clinical outcomes in elderly patients over 65 and over 80 years. Read More

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http://dx.doi.org/10.14701/ahbps.2018.22.4.374DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295375PMC
November 2018

Increased incidence of cholecystectomy related to gallbladder disease in France: Analysis of 807,307 cholecystectomy procedures over a period of seven years.

J Visc Surg 2018 Dec 17. Epub 2018 Dec 17.

Univ. Lille, CHU Lille, CERIM EA2694, Department of Public Health, 59000 Lille, France. Electronic address:

Purpose: Gallstones are one of the most common abdominal reasons for admission to hospital. The aim of this study was to analyze trends and outcomes in patients undergoing cholecystectomy with gallbladder related disease in France from 2008 to 2014.

Patients And Methods: We carried out a population-based, retrospective cohort study using data extracted from the French nationwide hospital discharge database (PMSI). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18787886183017
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http://dx.doi.org/10.1016/j.jviscsurg.2018.12.003DOI Listing
December 2018
4 Reads

A nationwide cohort study of short- and long-term outcomes following emergency laparotomy.

Dan Med J 2019 Jan;66(1)

Introduction: Emergency laparotomy is a high-risk procedure associated with severe post-operative morbidity and high mortality. The aim was to conduct a nationwide cohort consisting of all patients undergoing emergency laparotomy during an 11-year period and to examine both short- and long-term outcomes.

Methods: Adult patients treated with emergency laparotomy due to gastrointestinal conditions from 2003 through 2013 were identified in the Danish National Patient Register. Read More

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January 2019

Robot-Assisted Repair of E Biliary Ductal Injury with Roux-en-Y Hepaticojejunostomy.

J Laparoendosc Adv Surg Tech A 2018 Dec 14. Epub 2018 Dec 14.

Department of Surgery, Rutgers, New Jersey Medical School , Newark, New Jersey.

Background: Common bile duct (CBD) injury is a serious complication of laparoscopic and open cholecystectomy. Early identification and minimally invasive repair, when possible, can prevent much of the morbidity associated with this injury.

Materials And Methods: A 36-year-old woman referred in the immediate perioperative period for CBD injury at the time of laparoscopic cholecystectomy. Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0664
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http://dx.doi.org/10.1089/lap.2018.0664DOI Listing
December 2018
9 Reads

Temporal trends in opioid prescribing for common general surgical procedures in the opioid crisis era.

Am J Surg 2018 Dec 8. Epub 2018 Dec 8.

Department of Surgery, Mount Sinai Hospital, New York, NY, USA. Electronic address:

Background: Recent data has demonstrated that postoperative patients are at risk of chronic opioid abuse. It is unknown whether surgeon postoperative opioid prescribing changed as the opioid crisis entered its peak.

Methods: The Institutional Data Warehouse was queried to identify patients who underwent three common elective ambulatory procedures between 2014 and 2018 (n = 3495), including: laparoscopic cholecystectomy, laparoscopic inguinal hernia repair (IHR), and open IHR. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.11.047DOI Listing
December 2018
1 Read

Symptomatic HIV-Infected Patients Have Poorer Outcomes Following Emergency General Surgery: A Study of the Nationwide Inpatient Sample.

J Trauma Acute Care Surg 2018 Dec 5. Epub 2018 Dec 5.

Department of Surgery, Section of General Surgery, Trauma, and Surgical Critical Care, Yale School of Medicine, New Haven, CT USA.

Background: The impact of HIV infection on outcomes following common emergency general surgery procedures has not been evaluated since the widespread introduction of highly-active antiretroviral therapy (HAART).

Methods: A retrospective cohort study was conducted using the Nationwide Inpatient Sample. Records of patients who underwent laparoscopic or open appendectomy, cholecystectomy, or colon resection after emergency admission from 2004-2011 were obtained. Read More

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http://dx.doi.org/10.1097/TA.0000000000002161DOI Listing
December 2018
1 Read

Pre-surgery age-adjusted Charlson Comorbidity Index is associated with worse outcomes in acute cholecystitis.

Dig Liver Dis 2018 Oct 11. Epub 2018 Oct 11.

Surgery Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Background: Beneficial effects of cholecystectomy in acute cholecystitis (AC) might be weakened by complications. The age-adjusted Charlson Comorbidity Index (CCI) assesses disease relevance in the prediction of one-year mortality.

Aims: To evaluate whether age-adjusted CCI predicted complications (including surgical complications, intensive care unit [ICU] admission, and in-hospital death) among patients undergoing cholecystectomy for AC. Read More

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http://dx.doi.org/10.1016/j.dld.2018.10.002DOI Listing
October 2018
1 Read

Comparison of Laparoscopic and Open Approach in Treating Gallbladder Cancer.

J Surg Res 2019 Feb 16;234:269-276. Epub 2018 Oct 16.

Changzhou First People's Hospital, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China. Electronic address:

Background: Preliminary study on the feasibility and efficacy of laparoscopic cholecystectomy and radical cholecystectomy in stage Tis-T3 gallbladder cancer (GBC).

Methods: Retrospective analysis of the clinical data of 102 patients with GBC from August 2008 to August 2017 in the Department of Hepatopancreatobiliary Surgery at the Third Affiliated Hospital of Soochow University. The clinical and pathological data of laparoscopic surgery and open surgery were compared. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00224804183064
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http://dx.doi.org/10.1016/j.jss.2018.09.025DOI Listing
February 2019
6 Reads

Success of intraoperative imaging and management of suspected choledocholithiasis without pre-operative bile duct imaging - A case series.

Ann Med Surg (Lond) 2018 Dec 5;36:173-177. Epub 2018 Nov 5.

Consultant Upper GI Surgeon, South Devon NHS Foundation Trust, United Kingdom.

Background: Laparoscopic common bile duct exploration (LCBDE) is gaining popularity over endoscopic retrograde cholangiopancreatography (ERCP) for the management of common bile duct stones. However, its application has been almost exclusively following preoperative stone confirmation via magnetic retrograde cholangiopancreatography (MRCP), endoscopic ultrasound (EUS) or ERCP. We present our series of LCBDE following detection of common bile duct stones with intraoperative imaging (IOI) alone, in consecutive elective and emergency patients with suspected choledocholithiasis. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.10.036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249395PMC
December 2018
2 Reads

Laparoscopic Cholecystectomy is Safe Both Day and Night.

J Surg Res 2019 Jan 24;233:163-166. Epub 2018 Aug 24.

Division of Burns, Department of Surgery, Trauma and Critical Care, University of Texas Southwestern Medical Center, Dallas, Texas.

Background: It is reported that performing laparoscopic cholecystectomy (LC) at night leads to increased rates of complications and conversion to open. We hypothesize that it is safe to perform LC at night in appropriately selected patients.

Materials And Methods: We performed a retrospective review of nonelective LC in adults at our institution performed between April 2007 and February 2015. Read More

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http://dx.doi.org/10.1016/j.jss.2018.07.071DOI Listing
January 2019
1 Read

Lateral sided trocar site hernia following laparoscopic hernia repair: results of a long-term follow-up.

Hernia 2018 Dec 3. Epub 2018 Dec 3.

Department of General Surgery, Dr. Lutfi Kirdar Kartal Research and Education Hospital, Semsi Denizer Street, Cevizli, Kartal, Istanbul, Turkey.

Purpose: Trocar site hernias (TSH) at the umbilical site following laparoscopic cholecystectomy forms the majority of the studies about TSH and there is a missing data in literature about lateral sided TSH. We aimed to evaluate the incidence and factors affecting lateral sided TSH occurrence following laparoscopic abdominal wall hernia repair (LAHR).

Methods: Patients who underwent LAHR between March 2013 and 2015 were included in the study. Read More

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http://dx.doi.org/10.1007/s10029-018-1864-3DOI Listing
December 2018
7 Reads

Population Level Analysis of Adhesive Small Bowel Obstruction: Sustained Advantage of a Laparoscopic Approach.

Ann Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Surgery, Massachusetts General Hospital, Boston, MA.

Objective: The objective of this study was to determine the effects of open versus laparoscopic surgery on the development of adhesive small bowel obstruction (aSBO).

Summary Background Data: aSBO is a significant contributor to short and long-term postoperative morbidity. Laparoscopy has demonstrated a protective effect in colorectal surgery, but these effects have not been generalized to other abdominal procedures. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003107DOI Listing
November 2018
1 Read

Evaluation of Preoperative Ultrasonography in Gall Stone Disease to Predict Technical Difficulties during Laparoscopic Cholecystectomy.

Mymensingh Med J 2018 Oct;27(4):757-763

Dr Md Monoarul Islam Talukdar, Resident Surgeon (Surgery), Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh; E-mail:

Laparoscopic cholecystectomy is the gold standard in the treatment of gallstones. This study was carried out to determine the technical difficulties that can be encountered during laparoscopic cholecystectomy and to evaluate the role of ultrasonography in identifying patients at risk of conversion returning to open surgery. The objective of this study was to evaluate the efficacy of preoperative ultrasonography in assessing technical difficulty faced during laparoscopic cholecystectomy in gallstone disease. Read More

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October 2018
3 Reads

Same-admission versus delayed cholecystectomy for mild acute biliary pancreatitis: a systematic review and meta-analysis.

BMC Surg 2018 Nov 29;18(1):111. Epub 2018 Nov 29.

Department of Hepatobiliary Surgery, Dongyang People's Hospital, 60 West Wuning Road, 322100, Dongyang, Zhejiang, China.

Background: The timing of laparoscopic cholecystectomy (LC) performed after the mild acute biliary pancreatitis (MABP) is still controversial. We conducted a review to compare same-admission laparoscopic cholecystectomy (SA-LC) and delayed laparoscopic cholecystectomy (DLC) after mild acute biliary pancreatitis (MABP).

Methods: We systematically searched several databases (PubMed, EMBASE, Web of Science, and the Cochrane Library) for relevant trials published from 1 January 1992 to 1 June 2018. Read More

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http://dx.doi.org/10.1186/s12893-018-0445-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263067PMC
November 2018
1 Read

Misdiagnosing hepatic inflammatory pseudotumor as hepatocellular carcinoma: A case report.

JGH Open 2017 Oct 16;1(2):76-78. Epub 2017 Oct 16.

Second Department of Biliary Surgery Eastern Hepatobiliary Surgery Hospital Shanghai China.

A 61-year-old Chinese male was found to have a lesion in the left liver during a routine body check-up. Laboratory tests revealed no abnormalities except for a rise in C-reactive protein. Computed tomography showed features suggestive of hepatocellular carcinoma. Read More

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http://dx.doi.org/10.1002/jgh3.12012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207033PMC
October 2017

Surgeons and Surgical Trainees Underestimate the Total Charges and Reimbursements Associated With Commonly Performed General Surgery Procedures.

J Surg Educ 2018 Nov 25. Epub 2018 Nov 25.

Department of Surgery, The University of Vermont Larner College of Medicine, Burlington, Vermont; Department of Surgery, The University of Vermont Medical Center, Burlington, Vermont.

Introduction: Surgical care contributes significantly to the fiscal challenges facing the US health care system. Multiple studies have demonstrated surgeons' lack of awareness of the costs associated with individual portions of surgical care, namely operating room supplies. We sought to assess surgeon and trainee awareness of the comprehensive charges and reimbursements associated with procedures they perform. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.11.001DOI Listing
November 2018
1 Read

Modified complex open cholecystectomy reduces the risk of bile duct injury: A surgeon's experience.

Asian J Surg 2018 Nov 24. Epub 2018 Nov 24.

Key Laboratory of Molecular Pathology, Inner Mongolia Medical University, #5, Xin Hua Street, Huhhot, 010059, PR China. Electronic address:

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http://dx.doi.org/10.1016/j.asjsur.2018.10.010DOI Listing
November 2018

Cholecystectomy following percutaneous cholecystostomy tube placement leads to higher rate of CBD injuries.

Surg Endosc 2018 Nov 26. Epub 2018 Nov 26.

Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, Stony Brook, NY, 11794, USA.

Introduction: Percutaneous cholecystostomy tube (PCT) placement is often the management of severe acute cholecystitis in the unstable patient. PCT can be later reversed and cholecystectomy performed. The purpose of this study is to investigate the incidence of subsequent cholecystectomy and clinical factors associated with subsequent procedure. Read More

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http://link.springer.com/10.1007/s00464-018-6559-4
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http://dx.doi.org/10.1007/s00464-018-6559-4DOI Listing
November 2018
8 Reads

Giant Splenic Aneurysm with Arteriovenous (A-V) Shunt, Portal Hypertension, and Ascites.

Am J Case Rep 2018 Nov 27;19:1410-1415. Epub 2018 Nov 27.

Vascular Surgery Clinic, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

BACKGROUND Splenic aneurysms are rare, asymptomatic, and usually derive from previous surgical interventions. Endovascular repair is the best option, but when A-V shunt is present, open repair might be more suitable. CASE REPORT A 43-year-old man presented to the Internal Medicine Department of AHEPA University Hospital with symptoms of fever and ascites. Read More

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http://dx.doi.org/10.12659/AJCR.911106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280719PMC
November 2018
2 Reads

Preoperative endoscopic retrograde cholangio-pancreatography (ERCP) is a risk factor for surgical site infections after laparoscopic cholecystectomy.

Am J Surg 2018 Sep 29. Epub 2018 Sep 29.

Department of Surgery, Massachusetts General Hospital, Boston, MA, USA. Electronic address:

Background: We sought to examine whether preoperative endoscopic retrograde cholangio-pancreatography (ERCP) increases the risk of surgical site infections (SSI) after laparoscopic cholecystectomy.

Methods: Patients admitted to an academic hospital from 2010 to 2016, who were older than 18 and had a laparoscopic or a laparoscopic converted to open cholecystectomy for complicated biliary tract disease were included. We compared those who had a preoperative ERCP to those who did not. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.09.033DOI Listing
September 2018
1 Read

Combined Puestow and choledocoduodenostomy for concomitant large pancreatic duct and primary choledochal stones: A case series.

Int J Surg Case Rep 2018 12;53:322-326. Epub 2018 Nov 12.

Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. Electronic address:

Introduction: Multiple and large pancreatic duct stones concomitant with primary choledochal stones is a rare case. Patients usually present with recurrent jaundice and signs of pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) is the leading method to manage the patients. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260394PMC
November 2018
8 Reads

Results of laparoscopic cholecystectomy in the elderly.

Rev Col Bras Cir 2018 Nov 14;45(5):e2020. Epub 2018 Nov 14.

Universidade Federal do Paraná, Departamento de Cirurgia, Curitiba, PR, Brasil.

Objective: to evaluate the results of laparoscopic cholecystectomy in the elderly compared with younger patients.

Methods: we retrospectively reviewed computerized medical records of all patients who underwent laparoscopic cholecystectomy for chronic or acute cholecystitis from January 1, 2011 to March 31, 2018 at a single teaching hospital. We stratified the patients into two groups: elderly (≥60 years of age) and younger (<60 years of age). Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/0100-6991e-20182020DOI Listing
November 2018
8 Reads

The Role of Open Cholecystectomy in the Current Era of Laparoscopic Surgery and the Trainee Experience.

Am Surg 2018 Mar;84(3):e106-e107

Second Surgical Propedeutic Department, Aristotle University of Thessaloniki Medical School, Hippocration Hospital, Thessaloniki, Greece.

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An Unusual Case of Acute Cholecystitis with Amyloidosis: A Case Report and Literature Review.

Intern Med 2018 Nov 19. Epub 2018 Nov 19.

Department of Gastroenterology, Kyoto City Hospital, Japan.

We present an extremely rare case of amyloid A (AA) deposition in the gallbladder and review the literature on similar cases. The patient was a 76-year-old man who had been diagnosed with mild bronchiectasis three years previously, who was admitted to the hospital with right upper quadrant pain and fever. Computed tomography revealed swelling and wall thickening of the gallbladder with a small gallstone. Read More

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https://www.jstage.jst.go.jp/article/internalmedicine/advpub
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http://dx.doi.org/10.2169/internalmedicine.1805-18DOI Listing
November 2018
7 Reads

Cholecystocolic Fistula Misdiagnosed as Colon Cancer: A Case Report.

Authors:
Hai-Bo Zhou

Am J Case Rep 2018 Nov 17;19:1370-1372. Epub 2018 Nov 17.

Department of Gastroenterology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China (mainland).

BACKGROUND Due to the absence of specific symptoms and signs, cholecystocolic fistula is easy to miss as a diagnosis or misdiagnose. CASE REPORT We report a case of an older male patient who had cholecystocolic fistula which was misdiagnosed as colon cancer. The cholecystocolic fistula was incidentally discovered during surgery and was appropriately treated. Read More

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https://www.amjcaserep.com/abstract/index/idArt/911767
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http://dx.doi.org/10.12659/AJCR.911767DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250998PMC
November 2018
7 Reads

A comparison of cholecystitis grading scales.

J Trauma Acute Care Surg 2018 Nov 5. Epub 2018 Nov 5.

UT Southwestern Division of General and Acute Care Surgery.

Background: Previously, our group developed the Parkland Grading Scale for Cholecystitis (PGS) to stratify gallbladder (GB) disease severity that can be determined immediately when performing laparoscopic cholecystectomy (LC). In prior studies, PGS demonstrated excellent interrater reliability and was internally validated as an accurate measure of LC outcomes. Here, we compare PGS against a more complex cholecystitis severity score developed by the national trauma society (AAST), which requires clinical, operative, imaging, and pathologic inputs, as a predictor of LC outcomes. Read More

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http://dx.doi.org/10.1097/TA.0000000000002125DOI Listing
November 2018
4 Reads

Management of post cholecystectomy vascular injuries.

Surgeon 2018 Nov 2. Epub 2018 Nov 2.

Department of Surgical Gastroenterology, King George's Medical University, Lucknow, 226003, Uttar Pradesh, India. Electronic address:

Introduction: Vasculobiliary and vascular injuries following cholecystectomy are the most serious complications requiring complex surgical management resulting in greater patient morbidity and mortality.

Methodology: The study was performed at a tertiary teaching hospital of North India. Records of patients referred for biliary or vascular injury sustained during cholecystectomy were reviewed retrospectively to identify patients with vascular injury between January 2009 and March 2018. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1479666X183012
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http://dx.doi.org/10.1016/j.surge.2018.10.002DOI Listing
November 2018
9 Reads
2.207 Impact Factor

Early cross-sectional imaging following open and laparoscopic cholecystectomy: a primer for radiologists.

Insights Imaging 2018 Dec 2;9(6):925-941. Epub 2018 Nov 2.

Diagnostic and Interventional Radiology Department, ASST Santi Paolo e Carlo, Via A di Rudinì 8, 20142, Milan, Italy.

Performed on either an elective or urgent basis, cholecystectomy currently represents the most common abdominal operation due to the widespread use of laparoscopy and the progressively expanded indications. Compared to traditional open surgery, laparoscopic cholecystectomy minimised the duration of hospitalisation and perioperative mortality. Albeit generally considered safe, cholecystectomy may result in adverse outcomes with non-negligible morbidity. Read More

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http://link.springer.com/10.1007/s13244-018-0663-9
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http://dx.doi.org/10.1007/s13244-018-0663-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6269337PMC
December 2018
7 Reads

Acute cholecystitis and gallbladder perforation leading to massive haemoperitoneum in a patient taking rivaroxaban.

BMJ Case Rep 2018 Oct 28;2018. Epub 2018 Oct 28.

Department of Surgery, Wollongong Hospital, South Coast Mail Centre, New South Wales, Australia.

We present the case of an 80-year old man taking rivaroxaban for atrial fibrillation who sustained massive intra-abdominal bleeding in the setting of acute cholecystitis. CT scan on admission revealed evidence of active bleeding into the gallbladder lumen and gallbladder perforation. Immediate resuscitation was commenced with intravenous fluids, antibiotics and blood products. Read More

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http://dx.doi.org/10.1136/bcr-2018-226870DOI Listing
October 2018
2 Reads

Laparoscopic procedures in patients with cardiac ventricular assist devices.

Surg Endosc 2018 Oct 26. Epub 2018 Oct 26.

Department of Surgery, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA.

Background: Cardiac left ventricular assist device (LVAD) placement is a common therapy for heart failure. Non-cardiac surgical care of these patients can be complex given the need for anticoagulation, perioperative monitoring, comorbidities, and anatomical considerations due to the device itself. There are no guidelines or significant patient series reported to date for laparoscopic procedures in this population. Read More

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http://link.springer.com/10.1007/s00464-018-6497-1
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http://dx.doi.org/10.1007/s00464-018-6497-1DOI Listing
October 2018
11 Reads

[Factores de riesgo asociados a las complicaciones y a la falla terapéutica en las reconstrucciones de lesiones de vía biliar secundarias a colecistectomía].

Cir Cir 2018 ;86(6):491-498

Departamento de Investigación. Unidad Médica de Alta Especialidad Hospital de Especialidades 14 Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.

Antecedentes: Las lesiones de vías biliares por colecistectomía son una complicación seria. Numerosos factores alteran el resultado de su reconstrucción.

Método: Evaluación de la reconstrucción de lesiones de vía biliar y sus factores de riesgo (de enero de 2008 a enero de 2017). Read More

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http://www.cirugiaycirujanos.com/files/p4214bx176-circir-6--
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http://dx.doi.org/10.24875/CIRU.18000276DOI Listing
January 2018
6 Reads

Standardization of Outpatient Procedure (STOP) Narcotics: A Prospective Non-Inferiority Study to Reduce Opioid Use in Outpatient General Surgical Procedures.

J Am Coll Surg 2019 Jan 22;228(1):81-88.e1. Epub 2018 Oct 22.

Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. Electronic address:

Background: There has been a dramatic rise in opioid abuse, and diversion of excess, unused prescriptions is a major contributor. We assess the impact of implementing a new standardized pain care bundle to reduce postoperative opioids in outpatient general surgical procedures.

Study Design: This study was designed to demonstrate non-inferiority for the primary end point: patient-reported average pain in the first 7 postoperative days. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515183203
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http://dx.doi.org/10.1016/j.jamcollsurg.2018.09.008DOI Listing
January 2019
19 Reads

Primary hepatocellular carcinoma in a patient with history of treated breast cancer: a case report with challenging diagnosis and treatment.

Int J Gen Med 2018 11;11:399-403. Epub 2018 Oct 11.

Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.

Introduction: Breast cancer is the most common malignancy in women worldwide. Long-term survivors among patients treated for breast cancer are at a high risk for developing a second primary malignancy. Hepatocellular carcinoma is the most frequent primary hepatic malignancy and should be ruled out in breast cancer patients who are diagnosed with solitary hepatic lesions. Read More

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https://www.dovepress.com/primary-hepatocellular-carcinoma-i
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http://dx.doi.org/10.2147/IJGM.S176052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188071PMC
October 2018
5 Reads

Investigation of Ondansetron, Haloperidol, and Dexmedetomidine Efficacy for Prevention of Postoperative Nausea and Vomiting In Patients with Abdominal Hysterectomy.

Open Access Maced J Med Sci 2018 Sep 24;6(9):1659-1663. Epub 2018 Sep 24.

Department of Anesthesiology, Arak University of Medical Sciences, Arak, Iran.

Aim: This study was aimed to compare the effects of ondansetron, haloperidol, and dexmedetomidine for reducing postoperative nausea and vomiting (PONV) after laparoscopic cholecystectomy.

Methods: This randomised clinical trial study was performed on p.patients who were candidates for abdominal hysterectomy referring to Taleghani hospital in Arak. Read More

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http://dx.doi.org/10.3889/oamjms.2018.366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182536PMC
September 2018
1 Read

Outcome of Delayed Cholecystectomy after Percutaneous Cholecystostomy for Acute Cholecystitis.

Isr Med Assoc J 2018 Oct;20(10):627-631

Department of Surgery A, Emek Medical Center, Afula Israel.

Background: Recent studies have suggested that urgent cholecystectomy is the preferred treatment for acute cholecystitis. However, initial conservative treatment followed by delayed elective surgery is still common practice in many medical centers.

Objectives: To determine the effect of percutaneous cholecystostomy on surgical outcome in patients undergoing delayed elective cholecystectomy. Read More

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October 2018
9 Reads
0.903 Impact Factor

Closed vs. open method of pneumoperitonium at infra-umbilical site in laparoscopic surgery - A comparative study.

J Pak Med Assoc 2018 Oct;68(10):1478-1482

Department of Surgery, Quaid-e-Azam Medical College/ Bahawal Victoria Hospital, Bahawalpur, Pakistan.

Objective: To assess the safety profile of closed and open method of pneumoperitonium by comparing access and closure time during laparoscopic surgery and complications.

Methods: This quassi-experimental study was conducted at Bahawal Victoria Hospital, Bahawalpur, Pakistan, from September 15, 2013, to September 15, 2016, and comprised patients who were block-randomised into two equal groups. The first half constituted Group A where pneumoperitonium was created by closed method, while the latter half was designated as Group B where the open method was employed. Read More

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October 2018

Quality of life after single-incision laparoscopic cholecystectomy: A randomized, clinical trial.

Surgery 2019 Feb 9;165(2):353-359. Epub 2018 Oct 9.

Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime, Japan.

Background: Controversy continues as to whether single-incision laparoscopic cholecystectomy, with the somewhat larger incision at the umbilicus, may lead to a worse postoperative quality of life and more pain compared with the more classic 4-port laparoscopic cholecystectomy. The aim of this study was to compare single-incision and 4-port laparoscopic cholecystectomy from the perspective of quality of life.

Methods: This study was a multicenter, parallel-group, open-label, randomized clinical trial. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060183051
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http://dx.doi.org/10.1016/j.surg.2018.08.004DOI Listing
February 2019
1 Read

A promising technique for easier single incision laparoscopic cholecystectomy: needle grasper traction of gallbladder.

Wideochir Inne Tech Maloinwazyjne 2018 Sep 16;13(3):358-365. Epub 2018 May 16.

Department of General Surgery, Lutfiye Nuri Burat State Hospital, Istanbul, Turkey.

Introduction: Laparoscopic cholecystectomy (LC) is the primary treatment method for benign gallbladder diseases. Single incision laparoscopic cholecystectomy (SILC) was reported to be superior in terms of work return, cosmetic results, and post-operative pain, but limited maneuver capacity and overlapping of hand tools are technical difficulties associated with SILC that endanger patient safety.

Aim: To perform SILC using a needle grasper for gallbladder traction, thus simplifying the dissection of Calot's triangle. Read More

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https://www.termedia.pl/doi/10.5114/wiitm.2018.75849
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http://dx.doi.org/10.5114/wiitm.2018.75849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174160PMC
September 2018
2 Reads

Selective Cholecystectomy: using an evidence-based prediction model to plan for cholecystectomy.

ANZ J Surg 2018 Oct 8. Epub 2018 Oct 8.

Department of Surgery, James Cook University College of Medicine and Dentistry, Cairns, Queensland, Australia.

Background: Symptomatic gall stones are treated safely and efficiently with laparoscopic cholecystectomy. Conversion to open cholecystectomy may be associated with adverse outcomes. Accurate prediction of conversion should decrease the incidence of conversion and improve patient care. Read More

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http://doi.wiley.com/10.1111/ans.14849
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http://dx.doi.org/10.1111/ans.14849DOI Listing
October 2018
1 Read

A new clinical-ultrasound score to predict difficult videolaparocholecystectomies: A prospective study.

Ann Med Surg (Lond) 2018 Nov 22;35:59-63. Epub 2018 Sep 22.

General Surgery Unit "V. Bonomo", Department of Emergency and Transplantation of Organs, University of Bari, P.zza G. Cesare 11, 70124, Bari, Italy.

Background: The gold standard treatment of symptomatic cholelithiasis is videolaparoscopic cholecystectomy (VLC). The aim of this study is to produce a predictive clinical ultrasound (US) score for difficult VLC to reduce the rate of conversion to open cholecystectomy surgery and intra and/or post-operative complications.

Methods: In this prospective study carried out in 2017 we enrolled 135 patients (pts) who underwent VLC in our General Surgery Unit. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183017
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http://dx.doi.org/10.1016/j.amsu.2018.09.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170205PMC
November 2018
7 Reads