4,805 results match your criteria Cholecystectomy Open


Initial single institution experience with robotic biliary surgery and bilio-enteric anastomosis in southeast Asia.

ANZ J Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.

Background: Presently, experience with robotic biliary surgery (RBS) is increasing worldwide although widespread adoption remains limited. In this study, we report our initial experience with RBS.

Methods: Retrospective review of a single institution prospective database of 95 consecutive robotic hepatopancreatobiliary surgeries performed between 2013 and 2018. Read More

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http://dx.doi.org/10.1111/ans.15135DOI Listing

Success of Hospital Intervention and State Legislation on Decreasing and Standardizing Postoperative Opioid Prescribing Practices.

J Am Coll Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Surgery, Saint Joseph Mercy Oakland, Pontiac, MI.

Background: We sought to evaluate change in postoperative prescription practices in an independent community-based hospital following hospital interventions and a state legislation change.

Study Design: This is a retrospective review of opioid naïve adult subjects who underwent five common general surgical procedures between 2015-2017, including: cholecystectomy, appendectomy, minimally invasive inguinal hernia repair, open inguinal hernia repair, and breast lumpectomy. Educational interventions were introduced, new statewide legislation was passed, and 129 subsequent cases were reviewed. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.049DOI Listing

Intraoperatively malpositioned stent as a complication of common bile duct injury during laparoscopic cholecystectomy.

Ann Hepatobiliary Pancreat Surg 2019 Feb 28;23(1):84-86. Epub 2019 Feb 28.

HPB Surgery Unit, Hammersmith Hospital, NHS/Imperial College, London, UK.

Injuries occurring during laparoscopic bile duct exploration in the course of laparoscopic cholecystectomy may represent threatening complications and lead to inappropriate management. We present a case of patient with biliary colic who underwent laparoscopic cholecystectomy. During the procedure, a common bile duct injury occurred, compelling conversion to open approach, and the patient was treated using a manually inserted biliary stent. Read More

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http://dx.doi.org/10.14701/ahbps.2019.23.1.84DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405361PMC
February 2019
1 Read

Unilateral diaphragmatic paralysis after laparoscopic cholecystectomy.

Rev Esp Anestesiol Reanim 2019 Mar 9. Epub 2019 Mar 9.

Servicio de Anestesiología y Reanimación y Terapéutica del Dolor, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, España.

Laparoscopic cholecystectomy is currently assumed to be the standard gold treatment of acute biliary tract pathology. Despite its many advantages compared to classical open surgery, it is not without complications. The case is presented of an 82 year-old male patient who, after the diagnosis of cholecystitis gangrenous, was urgently intervened using laparoscopic cholecystectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356193002
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http://dx.doi.org/10.1016/j.redar.2019.01.006DOI Listing
March 2019
2 Reads

Case report of a duplicated cystic duct: A unique challenge for the laparoscopic surgeon.

Int J Surg Case Rep 2019 28;56:78-81. Epub 2019 Feb 28.

Department of Surgery/Division of Trauma and Acute Care Surgery, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA.

Introduction: Anatomical variants of the extrahepatic biliary tree are numerous, adding significantly to the risk of bile duct injury during cholecystectomy, especially when laparoscopic approach is employed. Duplicated cystic ducts draining a single gallbladder are extremely rare.

Presentation Of Case: A 34-year-old female presented with signs and symptoms of acute cholecystitis which was confirmed on imaging. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.030DOI Listing
February 2019
1 Read

[Gallbladder epidermoid carcinoma].

Rev Med Chil 2018 Dec;146(12):1438-1443

Departamento de Cirugía Oncológica Gastrointestinal, Instituto Nacional de Cancerología, México.

Background: Gallbladder epidermoid carcinoma is rare and more common in women over 55 years of age.

Aim: To report the features of 15 patients with gallbladder epidermoid carcinoma.

Material And Methods: Review of medical records of patients with gallbladder cancer in an oncology service. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201438DOI Listing
December 2018
4 Reads

An Update on Technical Aspects of Cholecystectomy.

Surg Clin North Am 2019 Apr 10;99(2):245-258. Epub 2019 Feb 10.

Division of Hepatobiliary, Pancreatic, and Gastrointestinal Surgery, Washington University School of Medicine, 660 South Euclid Avenue Box 8109, St Louis, MO 63110, USA. Electronic address:

Laparoscopic cholecystectomy has revolutionized the field of surgery, and is currently the gold standard in the treatment for symptomatic cholelithiasis. The goal of every laparoscopic cholecystectomy should be attainment of the critical view of safety before cutting the cystic duct and artery to reduce the risk of bile duct injury. Open cholecystectomy is most commonly performed when laparoscopic cholecystectomy is converted to open or when laparoscopic cholecystectomy is contraindicated. Read More

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http://dx.doi.org/10.1016/j.suc.2018.11.005DOI Listing

Safe laparoscopic cholecystectomy: Adoption of universal culture of safety in cholecystectomy.

World J Gastrointest Surg 2019 Feb;11(2):62-84

Transplant and HPB Surgery, the Iowa Clinic-Iowa Methodist Hospital, Des Moines, IA 50309, United States.

The incidence of biliary injury after laparoscopic cholecystectomy (LC) has shown a declining trend though it may still be twice that as with open cholecystectomy. Major biliary or vasculobiliary injury is associated with significant morbidity. As prevention is the best strategy, the concept of a culture of safe cholecystectomy has been recently introduced to educate surgeons and apprise them of basic tenets of safe performance of LC. Read More

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http://dx.doi.org/10.4240/wjgs.v11.i2.62DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397793PMC
February 2019
1 Read

Left-sided gallbladder: a systematic review of a rare biliary anomaly.

ANZ J Surg 2019 Mar 5. Epub 2019 Mar 5.

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

Background: A left-sided gallbladder (LSGB) is a rare anatomical anomaly that is often not discovered until surgery. Two cases of LSGB managed with laparoscopic cholecystectomy (LC) stimulated this systematic review. The aims of this study were in LSGB to define the rate of pre-operative detection, variations in biliary anatomy, laparoscopic techniques employed and outcomes of surgery for symptomatic gallstones. Read More

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http://doi.wiley.com/10.1111/ans.15041
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http://dx.doi.org/10.1111/ans.15041DOI Listing
March 2019
3 Reads

Cholecystocolic fistula diagnosis with hepatobiliary scintigraphy: A case report.

JGH Open 2019 Feb 1;3(1):91-93. Epub 2018 Nov 1.

Department of Gastroenterology Postgraduate Institute of Medical Education and Research Chandigarh India.

We report a 62-year-old woman who presented with chronic watery diarrhea and weight loss. During evaluation, she was found to have pneumobilia in the absence of gallstones, raising the suspicion of bilioenteric communication. Computed tomography demonstrated adherence of the gallbladder to the adjacent transverse colon. Read More

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http://dx.doi.org/10.1002/jgh3.12104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386746PMC
February 2019

Laparoscopic Repair of Small Ventral Hernias Using the "Ventralex™ Hernia Patch".

Chirurgia (Bucur) 2019 Jan-Feb;114(1):95-102

Laparoscopy of abdominal wall defects becomes more and more actual, considering the well-known advantages of minimally invasive surgery, and the reduced incidence of post-operative ventral infections and recurrence rates compared to the the open repair with or without mesh. We hereby present the technique of the laparoscopic repair of small ventral hernias (defect 2 centimetres), using the Ventralex mesh, which is bi-faceted, polypropylene and PTFE, circular preformed, it has 8 centimeters in diameter, fixated with 4 transparietal sutures. The mesh is created for open surgery but it is placed in the intraperitoneal cavity. Read More

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http://dx.doi.org/10.21614/chirurgia.114.1.95DOI Listing
February 2019

Open conversion for laparoscopically difficult cholecystectomy is still a valid solution with unsolved aspects.

World J Emerg Surg 2019 18;14. Epub 2019 Feb 18.

1Department of Surgical Sciences and Advanced Technologies "GF Ingrassia", Cannizzaro Hospital, University of Catania, Via Messina, 829, 95126 Catania, Italy.

The difficult laparoscopic cholecystectomy remains a surgical challenge for surgeons who must decide between laparoscopic continuation and open conversion. The balance between the lack of open surgery training of young surgeons and the risk of maintaining the laparoscopic approach in difficult laparoscopic cholecystectomy is still an unresolved problem. Furthermore, the time that must be spent in an attempt to complete laparoscopic surgery before conversion is still controversial. Read More

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http://dx.doi.org/10.1186/s13017-019-0227-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380008PMC
February 2019

Barriers to adoption of laparoscopic cholecystectomy in a county hospital in Guatemala.

Surg Endosc 2019 Feb 26. Epub 2019 Feb 26.

Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Background: Despite international efforts to increase performance of laparoscopic cholecystectomy (LC) in rural Guatemala, the vast majority of cholecystectomies are still performed via the open cholecystectomy (OC) approach. Our goal was to explore barriers to the adoption of LC in Guatemala as well as possible mechanisms to overcome them.

Methods: We reviewed 9402 cholecystectomies performed over 14 years by surgeons at the Hospital Nacional de San Benito (HNSB) in El Peten, Guatemala, with either an open or a laparoscopic approach. Read More

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http://link.springer.com/10.1007/s00464-019-06720-2
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http://dx.doi.org/10.1007/s00464-019-06720-2DOI Listing
February 2019
3 Reads

Robotic surgery for gallbladder cancer: Operative technique and early outcomes.

J Surg Oncol 2019 Feb 25. Epub 2019 Feb 25.

Department of GI and HPB Surgical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.

Background: The objective was to elucidate the operative technique of robotic radical cholecystectomy (RRC) and to compare the early outcomes of RRC with open radical cholecystectomy (ORC) for gallbladder cancer (GBC).

Methods: Patients who underwent RRC for suspected or incidental GBC between July 2015 and August 2018 were analyzed. Patients who underwent ORC during the same period and fulfilled the study criteria formed the control group. Read More

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http://dx.doi.org/10.1002/jso.25422DOI Listing
February 2019

Robotic-assisted repair of iatrogenic common bile duct injury after laparoscopic cholecystectomy: Surgical technique and outcomes.

Int J Med Robot 2019 Feb 18:e1992. Epub 2019 Feb 18.

Oncologic Surgery Departments, Maria Sklodowska-Curie Memorial Institute of Oncology, Cancer Centre, Kraków, Poland.

Background: Bile duct injury after cholecystectomy can be a life-threatening complication. Use of robotic approach to manage a complex biliary injury is in an early phase.

Methods: We have performed an analysis of our prospectively maintained database that included 12 patients who underwent robotic-assisted repair of bile duct injury after laparoscopic cholecystectomy between 2014 and 2017. Read More

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http://doi.wiley.com/10.1002/rcs.1992
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http://dx.doi.org/10.1002/rcs.1992DOI Listing
February 2019
3 Reads

Cholecystectomy During the Third Trimester of Pregnancy: Proceed or Delay?

J Am Coll Surg 2019 Apr 12;228(4):494-502.e1. Epub 2019 Feb 12.

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

Background: Current guidelines suggest that cholecystectomy during the third trimester of pregnancy is safe for both the woman and the fetus. However, no population-based study has examined this issue. The aim of this analysis was to compare the results of cholecystectomy during the third trimester of pregnancy with outcomes in women operated on in the early postpartum period in a large population. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515193002
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http://dx.doi.org/10.1016/j.jamcollsurg.2018.12.024DOI Listing
April 2019
13 Reads

Negative pressure therapy in combination with mesh-mediated fascial traction in the treatment of infected pancreatic necrosis. A new therapeutic option.

Cir Cir 2019 ;87(2):219-223

Departamento de Cirugía General y Endoscópica, Hospital Dr. Manuel Gea González.

Background: Acute pancreatitis represents one of the most frequent digestive pathologies worldwide, which can be complicated as an infected necrotizing acute pancreatitis, that may require treatment with necrosectomy and open abdomen with the risk that this leads to the appearance of intestinal fistula and giant incisional hernias difficult to manage.

Clinical Case: A 35-year-old woman underwent laparoscopic cholecystectomy for acute cholecystitis, which was re-admitted due to jaundice and abdominal pain 3 days after her hospital discharge. Diagnostic laparoscopy is performed, where a 3200 cc biliperitoneum secondary to a cystic duct stump leak is located and drained. Read More

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http://dx.doi.org/10.24875/CIRU.18000472DOI Listing
January 2019
2 Reads

Assessment of clinical outcome of cholecystectomy according to age in preparation for the "Silver Tsunami".

Am J Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Surgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.

Background: Recent rapid increases in the aging population have created an impending "Silver Tsunami" in advanced countries. The overall prevalence of gallstone disease and its related complications will soon increase, and there will be a larger demand for gallbladder surgery.

Methods: We examined the outcomes of cholecystectomy according to age among patients with cholelithiasis to determine how a patient's age influences the outcome of cholecystectomy. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.01.021DOI Listing
January 2019
1 Read

Long-term results of secondary biliary repair for cholecystectomy-related bile duct injury: results of a tertiary referral center.

Acta Chir Belg 2019 Feb 7:1-10. Epub 2019 Feb 7.

a Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.

Background: Management of bile duct injury (BDI) after cholecystectomy is challenging. The authors analyzed their center's 49-year experience.

Methods: From 1968 to 2016, 120 consecutive patients were managed in a tertiary HBP center, 105 referred from other centers (Group A), 15 from our center (Group B). Read More

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http://dx.doi.org/10.1080/00015458.2019.1570741DOI Listing
February 2019
1 Read

Richter's hernia in a 5-mm trocar site.

SAGE Open Med Case Rep 2019 11;7:2050313X18823413. Epub 2019 Jan 11.

1st Propedeutic Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

We present an unusual case of a trocar site incision hernia at a 5-mm trocar port occurring approximately 2 weeks post-operatively after a laparoscopic cholecystectomy. The patient, in her mid-60s, reported diffuse abdominal pain, constipation, nausea and vomiting. An abdominal X-ray demonstrated dilated small bowel loops with gas-fluid levels. Read More

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http://dx.doi.org/10.1177/2050313X18823413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349989PMC
January 2019
9 Reads

Rare case report of acalculous cholecystitis: Gallbladder torsion resulting in rupture.

SAGE Open Med Case Rep 2019 11;7:2050313X18823385. Epub 2019 Jan 11.

Department of Surgery, Wollongong Hospital, Wollongong, NSW, Australia.

Acalculous cholecystitis caused by gallbladder torsion is a rare condition. Only 500 cases have been reported since the first diagnosed case in 1898. We present the case of a 89-year-old woman with sudden onset of severe epigastric pain, radiating across her right costal margin, associated with nausea. Read More

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http://journals.sagepub.com/doi/10.1177/2050313X18823385
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http://dx.doi.org/10.1177/2050313X18823385DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349984PMC
January 2019
6 Reads

Refractory Bergmann type A bile leak: the need to strike a balance.

Endosc Int Open 2019 Feb 30;7(2):E264-E267. Epub 2019 Jan 30.

Digestive and Operative Endoscopy Unit, Niguarda-Ca' Granda Hospital, Milan, Italy.

 Endoscopic therapy for postoperative Bergmann type A bile leaks is based on biliary sphincterotomy ± stent insertion. However, recurrent or refractory bile leaks can occur.  This was retrospective study including all consecutive patients who were referred to our center with a Bergmann type A bile leak refractory to previous conventional endoscopic treatments. Read More

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http://dx.doi.org/10.1055/a-0732-4899DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6353644PMC
February 2019
1 Read

[Preliminary experience of dual-port laparoscopic distal gastrectomy for gastric cancer].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Jan;22(1):35-42

Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510155, China.Email:

Objective: To evaluate the short-term efficacy and cosmetic effect of dual-port laparoscopic distal gastrectomy (DPLDG) for gastric cancer.

Methods: Thirty consecutive patients underwent DPLDG at the Department of General Surgery, Nanfang Hospital from November 2016 to August 2018.

Inclusion Criteria: (1) age of 18 to 75 years; (2) primary gastric adenocarcinoma confirmed pathologically by endoscopic biopsy; (3) tumor located at middle-low stomach and planned for distal gastrectomy; (4) cT1b-2N0-1M0 at preoperative staging; (5) tumor diameter ≤3 cm; (6) US Eastern Cancer Cooperative Group(ECOG) score 0 to 1 points; (7) American Society of Anesthesiologists grade I to II; (8) perioperative management based on enhanced recovery after surgery (ERAS) principle. Read More

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January 2019
2 Reads

Effects of a Surgical Receipt Program on the Supply Costs of Five General Surgery Procedures.

J Surg Res 2019 Apr 13;236:110-118. Epub 2018 Dec 13.

Department of Surgery, University of California San Diego, La Jolla, California.

Background: Surgical supplies occupy a large portion of health care expenditures but is often under the surgeon's control. We sought to assess whether an automated, surgeon-directed, cost feedback system can decrease supply expenditures for five common general surgery procedures.

Materials And Methods: An automated "surgical receipt" detailing intraoperative supply costs was generated and emailed to surgeons after each case. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00224804183081
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http://dx.doi.org/10.1016/j.jss.2018.11.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377849PMC
April 2019
3 Reads

Dual-hemostat port closure technique with customized surgical suture after laparoscopic cholecystectomy: Single-center experience.

Asian J Endosc Surg 2019 Jan 27. Epub 2019 Jan 27.

Department of Surgery, Aoyama Hospital, Funabashi, Japan.

Introduction: Dual-hemostat techniques for port closure have previously been reported, but their safety and efficacy have not been evaluated. Here, we describe the dual-hemostat port closure technique employed at our institution, which uses a customized surgical suture for safe and certain port closure, and we assess the incidence rate of trocar-site hernia (TSH) after laparoscopic cholecystectomy.

Methods: From March 1999 to March 2017 at our institution, 316 patients underwent elective laparoscopic cholecystectomy performed by a single experienced surgeon. Read More

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http://doi.wiley.com/10.1111/ases.12690
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http://dx.doi.org/10.1111/ases.12690DOI Listing
January 2019
4 Reads

Laparoscopic Excisional Cholecystectomy with Full-Thickness Frozen Biopsy in Suspected Gallbladder Carcinoma.

Case Rep Gastroenterol 2018 Sep-Dec;12(3):747-756. Epub 2018 Dec 13.

Division of Surgery, Gastroenterological Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.

Owing to the advantages of a laparoscopic approach, laparoscopic cholecystectomy (LC) is thought to be the treatment of choice in gallbladder disease, even in cases of suspected malignancy. However, it is difficult to differentiate between cholecystitis and gallbladder carcinoma (GBC). We performed radical hepatectomy in patients with pT2 GBC diagnosed by full-thickness frozen biopsy. Read More

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http://dx.doi.org/10.1159/000495603DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341341PMC
December 2018
7 Reads

Effects of a Preoperative Transdermal Fentanyl Patch on Proinflammatory Cytokine and Pain Levels During the Postoperative Period: A Randomized Controlled Trial.

Surg Laparosc Endosc Percutan Tech 2019 Jan 22. Epub 2019 Jan 22.

Departments of Anesthesiology and Pain medicine.

Objective: The main objectives of this article were to assess the effect of preoperative transdermal fentanyl patch (TFP) on interleukin (IL)-6 and IL-8 levels and pain after laparoscopic cholecystectomy.

Materials And Methods: Patients received a TFP (25 μg/h) (patch group, n=30) or a placebo patch (control group, n=30) applied 14 hours before operation. After surgery, control group received intravenous continuous fentanyl (25 μg/h) with loading dose (25 μg). Read More

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http://dx.doi.org/10.1097/SLE.0000000000000630DOI Listing
January 2019
10 Reads

Which Cholecystectomy do Medical Students Prefer?

JSLS 2019 Jan-Mar;23(1)

University of Pernambuco, Faculty of Medical Sciences, Recife, Brazil.

Introduction: This study was undertaken to identify which minimally invasive technique medical students prefer for cholecystectomy and what factors determine their decision.

Methods: Brazilian medical students watched a video reviewing the advantages and disadvantages of six different surgical approaches to cholecystectomy: open surgery, conventional laparoscopy, mini-laparoscopy (MINI), single-incision laparoscopic surgery, natural-orifice transluminal endoscopic surgery, and robotic surgery. Respondents then answered questions about hypothetical situations in which the participants would be submitted to elective cholecystectomy. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333563/
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http://dx.doi.org/10.4293/JSLS.2018.00086DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333563PMC
March 2019
5 Reads

[Clinical analysis of transumbilical single-incision laparoscopic cholecystectomy with totally free umbilical ring by conventional instruments].

Zhonghua Yi Xue Za Zhi 2018 Dec;98(48):3946-3949

Department of Special Needs Medical, Nantong University Affiliated Hospital, Nantong 226001, China.

To summarize the clinical experience of transumbilical single-port laparoscopic cholecystectomy, and evaluate its clinical utility and the feasibility of widely usage. Between April 2012 and June 2017, 500 cases who underwent transumbilical single-port laparoscopic cholecystectomy with totally free umbilical ring by conventional instruments were enrolled. The clinical data were retrospectively analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.48.008DOI Listing
December 2018
6 Reads

Surgical management of hereditary spherocytosis Current strategies.

Ann Ital Chir 2018 ;89:473-478

Background: Hereditary spherocytosis is a benign hematologic disease, which needs surgical treatment when medical therapy fails. Currently, the surgical strategies consist mainly in total or partial splenectomy, which can be performed either in open or in laparoscopic fashion. In this study, we analyzed our series of splenectomies for hereditary spherocytosis and we discuss about the surgical management, reviewing the Literature. Read More

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January 2018
22 Reads

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
11 Reads

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
12 Reads

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

Am J Surg 2019 Apr 21;217(4):732-738. 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
April 2019
5 Reads

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
9 Reads

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
10 Reads

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
19 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
15 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
13 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
7 Reads

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

Korean J Anesthesiol 2018 12 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
2 Reads

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
10 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
1 Read

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
17 Reads

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

Am J Surg 2019 Apr 8;217(4):613-617. 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
April 2019
3 Reads

Symptomatic human immunodeficiency virus-infected patients have poorer outcomes following emergency general surgery: A study of the nationwide inpatient sample.

J Trauma Acute Care Surg 2019 Mar;86(3):479-488

From the Section of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery (B.J.S., K.A.D., K.M.S.), Yale School of Medicine, New Haven, Connecticut.

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

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 to 2011 were obtained. Read More

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http://dx.doi.org/10.1097/TA.0000000000002161DOI Listing
March 2019
2 Reads

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
5 Reads

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
12 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
4 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
3 Reads