5,064 results match your criteria Cholecystectomy Open


A Giant Gallstone: The Largest Gallstone Removed Laparoscopically in the World.

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

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http://dx.doi.org/10.7759/cureus.7933DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265749PMC

Safety and efficacy of transperitoneal laparoscopic nephron sparing surgery in patients with previous abdominal surgery.

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

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http://dx.doi.org/10.1177/0391560320921728DOI Listing

Optimal timing of laparoscopic cholecystectomy after gallbladder drainage for acute cholecystitis: A multi-institutional retrospective study.

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

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http://dx.doi.org/10.1002/jhbp.768DOI Listing

Isolated aberrant right cysticohepatic duct injury during laparoscopic cholecystectomy: Evaluation and treatment challenges of a severe postoperative complication associated with an extremely rare anatomical variant.

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

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http://dx.doi.org/10.14701/ahbps.2020.24.2.221DOI Listing

Incisional hernias following gallstone surgery. A population-based study.

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

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http://dx.doi.org/10.1016/j.hpb.2020.04.003DOI Listing

Laparoscopic and endoscopic cooperative surgery for cholecystogastric fistula: A case report.

Authors:
Goshi Fujimoto

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

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http://dx.doi.org/10.1016/j.ijscr.2020.04.100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242993PMC

Oncologic safety of laparoscopic radical cholecystectomy in pT2 gallbladder cancer: A propensity score matching analysis compared to open approach.

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

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http://dx.doi.org/10.1097/MD.0000000000020039DOI Listing

Perioperative outcomes of the patients treated using laparoscopic cholecystectomy after emergent endoscopic retrograde cholangiopancreatography for bile duct stones: Does timing matter?

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

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http://dx.doi.org/10.14744/tjtes.2020.94401DOI Listing

Laparoscopy Versus Open Reoperation for Incidental Gallbladder Carcinoma After Laparoscopic Cholecystectomy.

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

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http://dx.doi.org/10.1089/lap.2019.0802DOI Listing

Contemporary indications for and outcomes of hepatic resection for neuroendocrine liver metastases.

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

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http://dx.doi.org/10.4240/wjgs.v12.i4.159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215975PMC

Use of non-operative treatment and interval cholecystectomy for cholecystitis in patients with cancer.

Trauma Surg Acute Care Open 2020 6;5(1):e000439. Epub 2020 May 6.

Department of Surgical Oncology, UTMDACC, Houston, Texas, USA.

Background: Early cholecystectomy (EC) for acute cholecystitis (AC) is standard. Often patients with cancer are not EC candidates and require non-surgical treatments. We analyzed factors associated with non-surgical treatments and progression to interval cholecystectomy (IC). Read More

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http://dx.doi.org/10.1136/tsaco-2020-000439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223470PMC

Self-reported and actual adherence to the Tokyo guidelines in the European snapshot audit of complicated calculous biliary disease.

BJS Open 2020 May 17. Epub 2020 May 17.

Surgery, Örebro University School of Medical Sciences, Örebro, Sweden.

Background: Complicated acute biliary calculous disease poses clinical challenges. The European Society of Trauma and Emergency Surgery (ESTES) snapshot audit of complicated biliary calculous disease aims to make novel comparisons between self-reported institutional adherence to the Tokyo guidelines (TG18) and 'real-world' contemporary practice across Europe.

Methods: A preplanned analysis of a prospective observational multicentre audit that captured patients undergoing emergency admission for complicated biliary calculous disease (complicated cholecystitis, biliary pancreatitis, or choledocholithiasis with or without cholangitis) between 1 and 31 October 2018 was performed. Read More

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http://dx.doi.org/10.1002/bjs5.50294DOI Listing

Is concomitant cholecystectomy safe during abdominal wall reconstruction? An AHSQC analysis.

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

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http://dx.doi.org/10.1007/s10029-020-02208-4DOI Listing

Laparoscopic Cholecystectomy During Pregnancy: A Case Report and Review of Literature in Japan.

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

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http://dx.doi.org/10.7759/cureus.7656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217589PMC

Clinical Outcomes of Robotic Surgery Compared to Conventional Surgical Approaches (Laparoscopic or Open): A Systematic Overview of Reviews.

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

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http://dx.doi.org/10.1097/SLA.0000000000003915DOI Listing

Defining the Term "Elderly" in the Field of Surgery: A Retrospective Study Regarding the Changes in the Immunoinflammatory Indices During the Immediate Perioperative Period of the Elective Uncomplicated Laparoscopic Cholecystectomy.

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

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http://dx.doi.org/10.1097/SLE.0000000000000803DOI Listing

What are the risk factors of conversion from total cholecystectomy to bailout surgery?

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

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http://dx.doi.org/10.1007/s00464-020-07626-0DOI Listing

A Potential Role for Robotic Cholecystectomy in Patients with Advanced Liver Disease: Analysis of the NSQIP Database.

Am Surg 2020 Apr;86(4):341-345

From the *Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California and.

Robotic surgery has been widely adopted by many specialties, including hepatobiliary surgery. However, robotic procedures generally require longer operative times and are costlier than their laparoscopic counterparts. The role for robotic cholecystectomy (RC), particularly in patients with advanced liver disease, has not been established. Read More

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Superior mesenteric vein thrombosis following open right hemicolectomy and cholecystectomy. Casr report.

Ann Ital Chir 2019 Nov 7;8. Epub 2019 Nov 7.

Aim: Superior mesenteric vein thrombosis (SMVT) is an uncommon but potentially life-threatening postoperative complication of colorectal surgery. Risk factors and prognosis of SMVT have been poorly described and data to create gold standard criteria for diagnosis and management are lacking. SMVT has a wide spectrum of clinical presentation, hence, its early identification may be a diagnostic challenge. Read More

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November 2019

Monopolar stray energy in robotic surgery.

Surg Endosc 2020 May 8. Epub 2020 May 8.

Department of Surgery, the University of Colorado School of Medicine & the Rocky Mountain Regional Denver Veterans Affairs Medical Center, 1700 North Wheeling St, Mail Stop 112, Aurora, CO, 80045, USA.

Introduction: Stray energy transfer from monopolar radiofrequency energy during laparoscopy can be potentially catastrophic. Robotic surgery is increasing in popularity; however, the risk of stray energy transfer during robotic surgery is unknown. The purpose of this study was to (1) quantify stray energy transfer using robotic instrumentation, (2) determine strategies to minimize the transfer of energy, and (3) compare robotic stray energy transfer to laparoscopy. Read More

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http://dx.doi.org/10.1007/s00464-020-07605-5DOI Listing

[A Case of Neuroendocrine Carcinoma Treated with Salvage Surgery after Systemic Chemotherapy].

Gan To Kagaku Ryoho 2020 Feb;47(2):358-360

Dept. of Gastroenterological Surgery, Osaka General Medical Center.

A man in his 50s was admitted to our hospital due to hematemesis.Esophagogastroduodenoscopy revealed an 8 cm type 2 gastric tumor.The tumor was histologically diagnosed as a neuroendocrine carcinoma. Read More

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February 2020

Iatrogenic gallbladder perforation secondary to Veress needle placement: a complication of robotic nephrectomy.

Trauma Surg Acute Care Open 2020 23;5(1):e000442. Epub 2020 Apr 23.

General Surgery, Stanford University, Stanford, California, USA.

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http://dx.doi.org/10.1136/tsaco-2020-000442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193742PMC

Laparoscopic Cholecystectomy in Cirrhotic Patients.

Chirurgia (Bucur) 2020 Mar-Apr;115(2):213-219

Laparoscopic cholecystectomy is the gold standard procedure in patients with cirrhosis and symptomatic gallbladder disease or acute cholecystitis. In this retrospective study we evaluated laparoscopic cholecystectomy in patients with cirrhosis based on Child-Pugh score as a predictor of morbidity. In the First Surgical Clinic of Iasi, from 01 jan 2010 to 31 jan 2020, we performed 111 laparoscopic cholecystectomies in Child-Pugh A, B, and C cirrhotic patients. Read More

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http://dx.doi.org/10.21614/chirurgia.115.2.213DOI Listing

Emphysematous cholecystitis following routine colonoscopy.

J Surg Case Rep 2020 Apr 29;2020(4):rjaa091. Epub 2020 Apr 29.

Department of Surgery, Tamworth Rural and Referral Hospital, Tamworth, New South Wales, Australia.

Cholecystitis is a rare sequela of colonoscopy, the relationship between which has not yet been defined. This case study reviews a rural elderly patient who developed right upper quadrant pain following routine colonoscopy. He developed emphysematous cholecystitis, which required laparoscopy with conversion to open via Kocher's incision and underwent a subtotal cholecystectomy due to the severity of necrosis and inflammation. Read More

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http://dx.doi.org/10.1093/jscr/rjaa091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190028PMC

Surgical Trainee Experience with Open Cholecystectomy and the Dunning-Kruger Effect.

J Surg Educ 2020 Apr 30. Epub 2020 Apr 30.

Department of General and Upper Gastrointestinal Surgery, Connolly Hospital, Blanchardstown, Dublin, Ireland; Royal College of Surgeons in Ireland, Dublin, Ireland. Electronic address:

Background: Laparoscopic cholecystectomy has become the standard approach to gallbladder surgery, but open cholecystectomy retains a role in complex cases.

Aims: The aim of this study was to evaluate exposure of senior trainees in general surgery to open cholecystectomy and their experience and confidence in independent performance.

Methods: General surgical trainees on a higher surgical training programme from surgical training years 5 (ST 5) to 8 (ST8) were invited to partake in an online anonymous survey. Read More

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http://dx.doi.org/10.1016/j.jsurg.2020.03.025DOI Listing

See (n)One, Do (n)One, Teach (n)One: Reality of Surgical Resident Training in Germany.

World J Surg 2020 Apr 30. Epub 2020 Apr 30.

Young Surgeons Working Group (CAJC) of the German Society for General and Visceral Surgery (DGAV), Berlin, Germany.

Introduction: Due to technological changes, working time restrictions and the creation of specialized centers, surgical training has changed. A competence-based learning technique of surgical skills is the sub-step practice approach, which has been proven important in nationwide opinion surveys. The aim of this prospective multi-center trial was to determine the status quo of the sub-step concept in Germany. Read More

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http://dx.doi.org/10.1007/s00268-020-05539-6DOI Listing

Association of the Risk of a Venous Thromboembolic Event in Emergency vs Elective General Surgery.

JAMA Surg 2020 Apr 29. Epub 2020 Apr 29.

Division of General and Acute Care Surgery, Department of Surgery, UT Southwestern Medical Center, Dallas, Texas.

Importance: Trauma patients have an increased risk of venous thromboembolism (VTE), partly because of greater inflammation. However, it is unknown if this association is present in patients who undergo emergency general surgery (EGS).

Objectives: To investigate whether emergency case status is independently associated with VTE compared with elective case status and to test the hypothesis that emergency cases would have a higher risk of VTE. Read More

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http://dx.doi.org/10.1001/jamasurg.2020.0433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191471PMC

Is out-of-hours cholecystectomy for acute cholecystitis associated with complications?

Br J Surg 2020 Apr 26. Epub 2020 Apr 26.

Department of Clinical Science and Education, Karolinska Institutet Södersjukhuset, Sjukhusbacken 10, S-118 83, Stockholm, Sweden.

Background: Existing data on the safety of out-of-hours cholecystectomy are conflicting. The aim of this study was to investigate whether out-of-hours cholecystectomy for acute cholecystitis is associated with a higher risk for complications compared with surgery during office hours.

Methods: This was a population-based cohort study. Read More

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http://dx.doi.org/10.1002/bjs.11633DOI Listing

Laparoscopic total biopsy for suspected gallbladder cancer: A case series.

Health Sci Rep 2020 Jun 20;3(2):e156. Epub 2020 Apr 20.

Department of Gastroenterological, Breast and Endocrine Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan.

Background And Aims: Imaging diagnosis of gallbladder cancer remains difficult to achieve preoperatively. We developed a novel approach based on laparoscopic whole-layer cholecystectomy (LWLC) and laparoscopic gallbladder bed dissection (LGBD) for total biopsy, for ultimately determining the optimal treatment strategy for suspected gallbladder cancer detected on preoperative imaging. Here, we describe a case series of patients who underwent this procedure at our institution. Read More

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http://dx.doi.org/10.1002/hsr2.156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167592PMC

Bilevel positive airway pressure therapy in a patient with myotonic dystrophy and postoperative respiratory failure: A case report.

Saudi J Anaesth 2020 Apr-Jun;14(2):241-243. Epub 2020 Mar 5.

Department of Anesthesia, Ube-kohsan Central Hospital, Ube, Japan.

Respiratory failure is a common complication in patients with myotonic dystrophy (MD) and might be a presenting symptom in the perioperative setting. We report the case of a 59-year-old woman with MD who underwent open cholecystectomy and developed postoperative respiratory failure. Without reintubation, the patient was successfully managed with bilevel positive airway pressure (BiPAP) and was discharged uneventfully. Read More

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http://dx.doi.org/10.4103/sja.SJA_648_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164470PMC

Ancient Schwannoma of the Gallbladder.

ACG Case Rep J 2020 Feb 28;7(2):e00330. Epub 2020 Feb 28.

Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, VU University Amsterdam, Amsterdam, Netherlands.

Schwannomas are benign tumors which arise in the Schwann cells of the peripheral nerves. They develop anywhere in the human body but are less frequent found in the digestive tract. A 67-year-old female patient was referred to our tertiary HPB department with a asymptomatic mass of the gallbladder. Read More

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http://dx.doi.org/10.14309/crj.0000000000000330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145185PMC
February 2020

Gallbladder Hydatid Cyst: A Review on Clinical Features, Investigations and Current Management.

Clin Exp Gastroenterol 2020 2;13:87-97. Epub 2020 Apr 2.

Department of Surgical Gastroenterology, Gujarat Superspeciality Hospital, Baroda, Gujarat, India.

Background: Gallbladder hydatid cyst (GBHC) is highly uncommon with an incidence of 0.3-0.4% of all atypically located hydatid cysts. Read More

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http://dx.doi.org/10.2147/CEG.S243344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135162PMC

The prevalence of the Rouviere's sulcus: a meta-analysis with implications for laparoscopic cholecystectomy.

Clin Anat 2020 Apr 13. Epub 2020 Apr 13.

International Evidence-Based Anatomy Working Group, Jagiellonian University, Krakow, Poland.

Background: Rouvière's sulcus (RS) is increasingly being recognized as an important extra-biliary landmark during laparoscopic cholecystectomy (LC). The aim of this study was to conduct a systematic analysis of the prevalence and morphological types of RS.

Methods: A systematic search was conducted through the major databases PubMed, ScienceDirect, Google Scholar, China National Knowledge Infrastructure (CNKI), SciELO and the Cochrane Library to identify studies eligible for inclusion. Read More

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http://dx.doi.org/10.1002/ca.23605DOI Listing

Endoscopic ultrasound-guided gallbladder drainage with a combined internal and external drainage tubes for acute cholecystitis.

J Gastroenterol Hepatol 2020 Apr 8. Epub 2020 Apr 8.

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Background And Aim: Lumen-apposing metal stent is widely used for endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) nowadays but not approved in many countries and might be unsuitable for elective laparoscopic cholecystectomy (LC) because of its large enterocholecysto fistula. A combination of double pigtail plastic stent (DPPS) and naso-cystic tube (NCT) could overcome these problems. The aim of this study was to estimate the efficacy and safety of this method in patients with acute cholecystitis unfit for urgent cholecystectomy both as bridge to surgery and palliation. Read More

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http://dx.doi.org/10.1111/jgh.15065DOI Listing

Transarterial Embolization of Iatrogenic Cystic Artery Pseudoaneurysm.

GE Port J Gastroenterol 2020 Feb 7;27(2):115-118. Epub 2019 Aug 7.

Interventional Radiology Unit, Hepato-Biliary-Pancreatic and Transplant Center, Hospital Curry Cabral, Centro Hospitalar Lisboa Central, Lisbon, Portugal.

Cystic artery pseudoaneurysm (CAP) is a rare entity most often resulting from inflammatory conditions (acute cholecystitis or pancreatitis) or iatrogenic trauma (cholecystectomy). We report the case of a 73-year-old female who presented with abdominal pain and gastrointestinal bleeding after an episode of acute cholecystitis and endoscopic retrograde cholangiopancreatography for choledocolithiasis removal. Computed tomography and angiography revealed a CAP measuring 5 cm. Read More

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http://dx.doi.org/10.1159/000501400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113591PMC
February 2020

Clinical course of percutaneous cholecystostomies: A cross-sectional study.

World J Clin Cases 2020 Mar;8(6):1033-1041

Department of Surgery, Ankara Numune Training and Research Hospital, Ankara 06100, Turkey.

Background: Although cholecystectomy is the standard treatment modality, it has been shown that perioperative mortality is approaching 19% in critical and elderly patients. Percutaneous cholecystostomy (PC) can be considered as a safer option with a significantly lower complication rate in these patients.

Aim: To assess the clinical course of acute cholecystitis (AC) in patients we treated with PC. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i6.1033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103974PMC

The impact of intra-abdominal pressure on perioperative outcomes in laparoscopic cholecystectomy: a systematic review and network meta-analysis of randomized controlled trials.

Surg Endosc 2020 Jul 6;34(7):2878-2890. Epub 2020 Apr 6.

Department of Anesthesiology & Critical Care, Brabois University Hospital, University de Lorraine, CHRU Nancy, 7 allée du Morvan, 54511, Vandoeuvre-les-Nancy, France.

Background: Laparoscopic cholecystectomy involves using intra-abdominal pressure (IAP) to facilitate adequate surgical conditions. However, there is no consensus on optimal IAP levels to improve surgical outcomes. Therefore, we conducted a systematic literature review (SLR) to examine outcomes of low, standard, and high IAP among adults undergoing laparoscopic cholecystectomy. Read More

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http://dx.doi.org/10.1007/s00464-020-07527-2DOI Listing
July 2020
3.256 Impact Factor

An audit of interval cholecystectomy for acute cholecystitis in a low resource healthcare system.

S Afr J Surg 2020 Mar;58(1):10-13

Department of Surgery, Nelson R Mandela School of Medicine University of KwaZulu-Natal, South Africa.

Background: Early laparoscopic cholecystectomy (ELC) is advocated over open cholecystectomy for acute cholecystitis (AC) as it decreases hospital costs with no increase in morbidity and mortality. The applicability of ELC for AC in a resource limited setting has not been reported. This study reviewed patients with AC at a regional state hospital in South Africa to analyse presentation delays and the related surgical strategies. Read More

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Magnetic-Assisted Robotic and Laparoscopic Renal Surgery: Initial clinical experience with the LevitaTM Magnetic Surgical System.

J Endourol 2020 Apr 1. Epub 2020 Apr 1.

Icahn School of Medicine at Mount Sinai, 5925, Urology, New York, New York, United States;

Introduction The LevitaTM Magnetic Surgical System (LMSS) is a new device that can provide retraction using magnets and can reduce the number of ports used during laparoscopic and robotic surgery. It is FDA approved for laparoscopic cholecystectomy, bariatric surgery, and robotic radical prostatectomy. Our objective was to evaluate the safety and feasibility of the magnetic surgical system during renal surgery. Read More

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http://dx.doi.org/10.1089/end.2020.0043DOI Listing

Acute cholecystitis: predictive clinico-radiological assessment for conversion of laparoscopic cholecystectomy.

Acta Radiol 2020 Mar 30:284185120906658. Epub 2020 Mar 30.

Department of Radiology, Gil Medical Center of Gachon University, Incheon, Republic of Korea.

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http://dx.doi.org/10.1177/0284185120906658DOI Listing

Measured Estimated Blood Loss: Interim Analysis of a Prospective Quality Improvement Study.

Am Surg 2020 Mar;86(3):228-231

Estimated blood loss (EBL) is an increasingly important factor used to predict outcomes, such as morbidity and mortality, length of stay, and readmissions, after major abdominal operations. However, blood loss is difficult to estimate, with frequent under- and overestimations, consequences of which can be potentially dangerous for individual patients and confounding for scoring systems relying on EBL. We hypothesized that EBL is often inaccurate and have prospectively enrolled consecutive patients undergoing major elective intra-abdominal operations. Read More

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Robotic Cholecystectomy Is a Safe Educational Alternative to Laparoscopic Cholecystectomy During General Surgical Training: A Pilot Study.

J Surg Educ 2020 Mar 23. Epub 2020 Mar 23.

Department of Surgery, Ascension Providence Hospital, Michigan State University College of Human Medicine-Southeast Campus, Southfield, Michigan.

Objective: The role of robotic surgery in general surgery (GS) continues to expand. Several programs have integrated robotic-based simulators and models into surgical education; however, residents' robotic experience in the operating room is currently limited. We sought to assess the safety and feasibility of robotic cholecystectomy (RC) when independently performed by GS chief residents. Read More

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http://dx.doi.org/10.1016/j.jsurg.2020.02.027DOI Listing

Does early surgery imply a critical risk for patients with Grade III acute cholecystitis?

Asian J Endosc Surg 2020 Mar 23. Epub 2020 Mar 23.

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

Background: For patients with Grade III acute cholecystitis (AC), several factors have been proposed in the 2018 Tokyo guidelines as caution signs in performing early surgery. However, these factors have not been externally validated in detail.

Methods: This retrospective study examined 35 patients who had been diagnosed with Grade III AC and treated with laparoscopic cholecystectomy between January 2008 and July 2019. Read More

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http://dx.doi.org/10.1111/ases.12799DOI Listing

An Important Gallbladder Pathology Mimicking Gallbladder Carcinoma: Xanthogranulomatous Cholecystitis: A Single Tertiary Center Experience.

Surg Laparosc Endosc Percutan Tech 2020 Jun;30(3):285-289

Ministry of Health, University of Health Science, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.

Background: Xanthogranulomatous cholecystitis (XGC) is an uncommon, focal, or diffuse destructive inflammatory disease of the gallbladder mimicking or being together with the gallbladder carcinoma. This study aimed to evaluate the diagnosis, treatment, and outcomes of patients with XGC as a single tertiary center experience in the light of literature.

Materials And Methods: Data about 34 patients with XGC identified after evaluating 2212 cholecystectomy specimens between January 2013 and December 2018 in a single tertiary center were documented to determine demographics (sex, age), clinical symptoms and findings, biochemical and imaging clues and operative findings, duration of hospitalization, postoperative complications, and histopathologic results. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000781DOI Listing

Dilation of the cystic duct confluence in laparoscopic common bile duct exploration and stone extraction in patients with secondary choledocholithiasis.

BMC Surg 2020 Mar 17;20(1):50. Epub 2020 Mar 17.

Department of Anesthesiology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Many options exist for the management of cholelithiasis and secondary choledocholithiasis. Among them, laparoscopic common bile duct exploration (LCBDE) with choledocotomy followed by laparoscopic cholecystectomy has gained popularity. However, efforts should be made to ensure minimally invasive or noninvasive management of the common bile duct (CBD). Read More

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http://dx.doi.org/10.1186/s12893-020-00705-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079474PMC
March 2020
1.240 Impact Factor

Laparoscopic versus open surgery for the management of post-cholecystectomy benign biliary strictures.

Surg Endosc 2020 Mar 16. Epub 2020 Mar 16.

Department of Gastrointestinal Surgery and Liver Transplantation, GB Pant Institute of Post Graduate Medical Education and Research and MAM College, University of Delhi, New Delhi, India.

Background And Aim: Surgical management by a bilioenteric anastomosis is the standard for the repair of post-cholecystectomy benign biliary strictures (BBS). This is traditionally done as an open operation. There are a few reports describing the procedure by a laparoscopic technique. Read More

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http://dx.doi.org/10.1007/s00464-020-07496-6DOI Listing

[Comparison between erector spinal plane block and epidural block techniques for postoperative analgesia in open cholecystectomies: a randomized clinical trial].

Rev Bras Anestesiol 2020 Jan - Feb;70(1):22-27. Epub 2020 Feb 27.

Serviço de Anestesiologia SIANEST, Florianópolis, SC, Brasil; Universidade do Sul de Santa Catarina (UNISUL), Florianópolis, SC, Brazil; Hospital Florianópolis, Florianópolis, SC, Brasil; TSA Sociedade Brasileira de Anestesiologia (SBA), Rio de Janeiro, RJ, Brasil.

Introduction And Objectives: Blockade of the Erector Spinal Muscle (ESP block) is a relatively new block, initially described for chronic thoracic pain analgesia, but it has already been described for anesthesia and analgesia in thoracic surgical procedures and, more recently, for high abdominal surgeries. The aim of the study was to compare two techniques, ESP Block and Epidural block with morphine and local anesthetic for postoperative analgesia of open cholecystectomy surgeries.

Methods: Controlled single-blind randomized clinical trial with 31 patients (ESP block, n = 15; Epidural, n = 16), of both genders, ages between 27 and 77 years. Read More

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http://dx.doi.org/10.1016/j.bjan.2019.12.009DOI Listing
February 2020

Laparoscopic management of type II Mirizzi syndrome.

Surg Endosc 2020 May 5;34(5):2303-2312. Epub 2020 Mar 5.

Dept Surgery, St. Mark's Hospital, Watford Road, London, HA1 3UJ, UK.

Background: Mirizzi syndrome is an uncommon complication of longstanding gallstone disease. Pre-operative diagnosis is challenging, and to date, there is no consensus on the standard management for this condition. Until recently open cholecystectomy was the standard of care for type II Mirizzi syndrome (McSherry classification). Read More

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http://dx.doi.org/10.1007/s00464-019-07316-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113232PMC

Laparoscopic cholecystectomy: which predicting factors of conversion? Two Italian center's study.

Minerva Chir 2020 Mar 4. Epub 2020 Mar 4.

Emergency Surgery, St. Orsola University Hospital, Alma Mater Studiorum, Bologna, Italy.

Background: Laparoscopic cholecystectomy represents the gold standard technique for the treatment of lithiasic gallbladder disease. Although it has many advantages, laparoscopic cholecystectomy is not risk-free and in special situations there is a need for conversion into an open procedure, in order to minimize postoperative complications and to complete the procedure safely. The aim of this study is to identify factors that can predict the conversion to open cholecystectomy. Read More

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http://dx.doi.org/10.23736/S0026-4733.20.08228-0DOI Listing
March 2020
0.707 Impact Factor

Excision of a part of the bile duct as an iatrogenic injury typical for laparoscopic cholecystectomy - characteristics, treatment and long-term results, based on own material.

Wideochir Inne Tech Maloinwazyjne 2020 Mar 14;15(1):70-79. Epub 2019 Jun 14.

Department of General, Oncological and Digestive Tract Surgery, Centre of Postgraduate Medical Education, Warsaw, Poland.

Introduction: Cholecystectomy is associated with the risk of bile duct injury (BDI). The nature of the injury in laparoscopic cholecystectomy (LC) cases seems to be more serious.

Aim: We present an analysis of long-term results of the treatment of patients who underwent operations at our department due to iatrogenic excision of a part of the bile duct (EPBD). Read More

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http://dx.doi.org/10.5114/wiitm.2019.85806DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020707PMC