5,583 results match your criteria Cholecystectomy Open


[Remnant gallbladder cholecystitis, an increasingly common entity: Case report].

Rev Med Inst Mex Seguro Soc 2022 May 2;60(3):350-355. Epub 2022 May 2.

Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital General "Dr. Gaudencio González Garza", Servicio de Cirugía General. Ciudad de México, México.

Background: Subtotal cholecystectomy was described in 1985 as an alternative to total cholecystectomy in cases of difficult cholecystectomy. It was classified as reconstituted and fenestrated subtotal. In spite of being a viable alternative, up to 10. Read More

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Interfacility Transfer for Nonelective Cholecystectomy in High MELD Patients: An ACS-NSQIP Analysis.

J Surg Res 2022 Jun 24;279:127-134. Epub 2022 Jun 24.

Department of Surgery, Anne Arundel Medical Center, Annapolis, Maryland. Electronic address:

Introduction: Interfacility transfer to a referral center is often considered for patients with liver disease undergoing nonelective cholecystectomy given management complexities and perioperative risk. We sought to determine the association between the Model for End Stage Liver Disease (MELD) score, transfer frequency, and outcomes in those patients using a national database.

Materials And Methods: The ACS-NSQIP participant use files were queried for nonelective open or laparoscopic cholecystectomy from 2016 to 2018. Read More

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New chronic opioid use in Medicaid patients following cholecystectomy.

Surg Open Sci 2022 Jul 20;9:101-108. Epub 2022 May 20.

Department of Medicine, The Medical University of South Carolina, Charleston, SC.

Background: Commercial insurance data show that chronic opioid use in opioid-naive patients occurs in 1.5% to 8% of patients undergoing surgical procedures, but little is known about patients with Medicaid.

Methods: Opioid prescription data and medical coding data from 4,788 Medicaid patients who underwent cholecystectomy were analyzed to determine opioid use patterns. Read More

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Laparoscopic and Robot-Assisted Hepatic Surgery: An Historical Review.

J Clin Med 2022 Jun 7;11(12). Epub 2022 Jun 7.

Department of Surgery, Jichi Medical University, Shimotsuke 329-0498, Tochigi, Japan.

Hepatic surgery is a rapidly expanding component of abdominal surgery and is performed for a wide range of indications. The introduction of laparoscopic cholecystectomy in 1987 was a major change in abdominal surgery. Laparoscopic surgery was widely and rapidly adopted throughout the world for cholecystectomy initially and then applied to a variety of other procedures. Read More

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Role of antibiotic prophylaxis on surgical site infection prevention in a low-risk population undergoing laparoscopic cholecystectomy: A randomized controlled study.

Ann Med Surg (Lond) 2022 Jun 18;78:103804. Epub 2022 May 18.

Hamad Medical Corporation, Doha, Qatar.

Objective: To compare the incidence of surgical site infections (SSIs) in low-risk patients undergoing laparoscopic cholecystectomy (LC) with pre-operative antibiotics versus no pre-operative antibiotics administration.

Study Design: Randomized controlled study.

Setting: Hepatobiliary department, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Pakistan, from Jul 1, 2018, to Jun 30, 2021. Read More

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Non-Resolving Perihepatic Abscess Following Spilled Gallstones Requiring Surgical Management.

S D Med 2022 Mar;75(3):120-122

Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Introduction: Laparoscopic cholecystectomy (LC) is the treatment of choice for symptomatic cholelithiasis and is among the most frequently done procedures in United States. Spillage of gallstones occurs in up to 30 percent of these procedures and is associated with rare but important complications including abscess formation.

Case Description: We present a case of 44-year-old man with a peri-hepatic abscess developed three years after a laparoscopic cholecystectomy. Read More

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Promoting a Culture of Safety in Cholecystectomy (COSIC) over a decade at a Philippine public regional hospital after the SAGES International Proctoring Course in Laparoscopic Cholecystectomy Course.

Surg Endosc 2022 Jun 13. Epub 2022 Jun 13.

Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.

Background: The SAGES International Proctoring Course for Laparoscopic Cholecystecomy accepts applications from low to middle-income countries for SAGES faculty to train local surgeons. A regional public hospital in the 10th most populous city in the Philippines was one of the chosen sites for the 1-week course in 2010. Two SAGES surgeons and one nurse trained two local surgeons and four nurses identified by the hospital director. Read More

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Solve study: a study to capture global variations in practices concerning laparoscopic cholecystectomy.

Surg Endosc 2022 Jun 9. Epub 2022 Jun 9.

South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.

Background: There is a lack of published data on variations in practices concerning laparoscopic cholecystectomy. The purpose of this study was to capture variations in practices on a range of preoperative, perioperative, and postoperative aspects of this procedure.

Methods: A 45-item electronic survey was designed to capture global variations in practices concerning laparoscopic cholecystectomy, and disseminated through professional surgical and training organisations and social media. Read More

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Letter to: Risk factors for conversion to open surgery in laparoscopic cholecystectomy: A single center experience.

Turk J Surg 2021 Dec 31;37(4):418-419. Epub 2021 Dec 31.

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

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December 2021

Impact on infectious outcomes during laparoscopic cholecystectomy with the use of home-made vs commercial gallbladder retrieval bag: a retrospective comparative study in a high-volume center.

Surg Endosc 2022 Jun 7. Epub 2022 Jun 7.

Universidad el Bosque, Bogotá, Colombia.

Background: Laparoscopic cholecystectomy (LC) is one of the most commonly performed emergency procedures, with approximately 600,000 patients undergoing the procedure every year in the United States. Although LC is associated with fewer complications when compared with open cholecystectomy, the risk for infectious complications, including surgical site infection and intra-abdominal abscess, remains a significant source of postoperative morbidity. The goal of this study is to determine whether the gallbladder retrieval technique during LC affects risk of infectious complications. Read More

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Patient-reported outcome measures (PROMs) after laparoscopic cholecystectomy: systematic review.

BJS Open 2022 May;6(3)

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

Background: Healthcare requires patient feedback to improve outcomes and experience. This study undertook a systematic review of the depth, variability, and digital suitability of current patient-reported outcome measures (PROMs) in patients undergoing laparoscopic cholecystectomy.

Methods: A PROSPERO-registered (registration number CRD42021261707) systematic review was undertaken for all relevant English language articles using PubMed version of MEDLINE, Scopus, and Web of Science electronic databases in June 2021. Read More

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Does repeat laparoscopic hepatectomy without extracorporeal Pringle manoeuvre worsen treatment outcomes?

Prz Gastroenterol 2022 13;17(2):130-137. Epub 2021 Oct 13.

Osaka Medical College Mishima-Minami Hospital, Osaka, Japan.

Introduction: The Pringle manoeuvre is used in most hospitals to counteract intraoperative haemorrhage in laparoscopic hepatectomy by occluding the flow of blood to the liver. However, in laparoscopic repeat hepatectomy (LRH), outcomes of previous surgery and the influence of other factors frequently make it difficult to occlude the inflow of blood.

Aim: To discuss the value of inflow occlusion during LRH and provide tips for its performance. Read More

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October 2021

Simultaneous early surgical repair of post-cholecystectomy major bile duct injury and complex abdominal evisceration: A case report.

Int J Surg Case Rep 2022 May 21;94:107110. Epub 2022 Apr 21.

HPB Surgery Service, Barts and the London Centre, Barts Health NHS Trust, London, UK; Department of Surgery and Interventional Science, University College London, UK; Department of Surgery, Ospedale Policlinico San Martino Genova, Italy. Electronic address:

Background: Major bile duct injuries (BDIs) are hazardous complications during 0.4%-0.6% of laparoscopic cholecystectomies. Read More

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[Creatine phosphokinase as a predictor of acute destructive cholecystitis].

Khirurgiia (Mosk) 2022 (6):27-31

Chita Clinical Hospital, Chita, Russia.

Objective: To analyze creatine phosphokinase as a predictor of destructive cholecystitis.

Material And Methods: We analyzed 105 patients with various clinical variants of acute calculous cholecystitis (catarrhal, phlegmonous, gangrenous), and comparable age, gender and comorbidities. The study included patients with gallstone disease and gallbladder inflammation aged 30-7 years who underwent laparoscopic cholecystectomy, open cholecystectomy, cholecystectomy through mini-laparotomy. Read More

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Robotic Surgery Techniques to Improve Traditional Laparoscopy.

JSLS 2022 Apr-Jun;26(2)

University of Central Florida, Department of Mechanical and Aerospace Engineering, Orlando, FL.

Introduction: Laparoscopic instruments and techniques are constantly improving, as the ability to perform minimally invasive surgery is crucial in modern medicine. The progression from open surgery to minimally invasive surgery over the years eventually led to the use of robotic devices to either assist or completely replace patient-side surgery with a separate console. Though robotic surgery has been praised for its surgical outcomes, certain situations limit its use, such as cost-effectiveness or physical space constraints. Read More

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Outcomes of double-layer continuous suture hepaticojejunostomy in pancreatoduodenectomy and total pancreatectomy.

HPB (Oxford) 2022 May 17. Epub 2022 May 17.

Division of General and Transplant Surgery, University of Pisa, Pisa, Italy. Electronic address:

Background: This study aims to describe the technique and the results of double-layer continuous suture hepaticojejunostomy (HJ) following pancreatoduodenectomy (PD) and total pancreatectomy (TP).

Methods: A prospectively maintained database was analyzed retrospectively to identify incidence and severity of biliary leaks (BL) (ISGLS definition), as well as of HJ stenosis (HJS), cholangitis, and need for redo-HJ (in patients with a follow-up ≥3 years) in a consecutive series of 800 procedures (PD = 603; TP = 197). Predictors of biliary complications were also identified. Read More

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Unusual Presentation of Gallbladder Fossa Abscess Following Open Cholecystectomy in a Patient With Cholecystitis: A Case Report.

Cureus 2022 May 24;14(5):e25274. Epub 2022 May 24.

Internal Medicine, Hackensack University Medical Center, Hackensack, USA.

Cholecystectomy is one of the most commonly performed surgical interventions, and laparoscopic cholecystectomy is the standard intervention with open cholecystectomies having declined nowadays. Similar to other surgical procedures, cholecystectomy carries its own risks including sepsis, bleeding, damage to surrounding tissues, bile leakage, and abscess formation. Abscess formation can be due to a variety of reasons such as infection or gallstone spillage during surgery with the latter being more common to laparoscopic surgery. Read More

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Operative Difficulty, Morbidity and Mortality Are Unrelated to Obesity in Elective or Emergency Laparoscopic Cholecystectomy and Bile Duct Exploration.

J Gastrointest Surg 2022 May 31. Epub 2022 May 31.

Laparoscopic Upper GI and Biliary Service, University Hospital Monklands, Airdrie, Scotland, UK.

Objectives: The challenges posed by laparoscopic cholecystectomy (LC) in obese patients and the methods of overcoming them have been addressed by many studies. However, no objective tool of reporting operative difficulty was used to adjust the outcomes and compare studies. The aim of this study was to establish whether obesity adds to the difficulty of LC and laparoscopic common bile duct exploration (LCBDE) and affects their outcomes on a specialist biliary unit with a high emergency workload. Read More

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Effect of local anaesthetic infiltration on postoperative pain after laparoscopic cholecystectomy: randomized clinical trial.

BJS Open 2022 05;6(3)

Department of Anesthesiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Background: Local anaesthetic infiltration is widely used to reduce pain after laparoscopic cholecystectomy (LC). This trial evaluated the effect of depth of local anaesthetic infiltration on postoperative pain reduction after LC.

Methods: Patients undergoing elective LC between March 2018 and February 2019 were randomized into no infiltration, subcutaneous infiltration, and rectus sheath infiltration using bupivacaine. Read More

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IgG4-related cholecystitis misinterpreted as gallbladder cancer, a case report.

Ann Med Surg (Lond) 2022 May 10;77:103615. Epub 2022 Apr 10.

Department of Pathology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Introduction: Immunoglobulin G4-related disease (IgG4-RD) is a new defined entity with features that factually have been overlapped with other diseases with distinctly diverse treatments and prognoses.

Case Presentation: This report describes a 50-year-old woman who presented with abdominal pain from 3 months ago. The patient underwent open cholecystectomy with Roux-en-Y hepaticojejunostomy due to suspicious of malignancy. Read More

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Open Cholecystectomy among Patients undergoing Laparoscopic Cholecystectomy in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

JNMA J Nepal Med Assoc 2022 May 5;60(249):444-447. Epub 2022 May 5.

Department of Surgery, Chitwan Medical College and Teaching Hospital, Bharatpur-10, Chitwan, Nepal.

Introduction: In the current era, laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care centre.

Methods: It is a descriptive cross-sectional study done among 345 patients at the Department of Surgery of a tertiary care centre from June, 2020 to May, 2021 after receiving ethical clearance from the Institutional Review Committee (Reference number: CMC-IRC/0770798-271). Read More

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Safe and feasible outcomes of cholecystectomy in extremely elderly patients (octogenarians vs. nonagenarians).

J Minim Invasive Surg 2021 Sep;24(3):139-144

Division of Hepatobiliary-Pancreas and Liver Transplantation Surgery, Department of Surgery, Chosun University Hospital, Gwangju, Korea.

Purpose: Cholecystectomy is the gold standard treatment for gallbladder disease. As life expectancy increases, awareness of cholecystitis treatment in the elderly changes. The safety and feasibility of cholecystectomy in octogenarians have been proven in many studies. Read More

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September 2021

Gasless single-port laparoscopic cholecystectomy.

J Minim Invasive Surg 2021 Sep;24(3):152-157

Department of Surgery, Shikoku Central Hospital, Shikokuchuo, Japan.

Purpose: Single-port laparoscopic surgery is anticipated to become the future of minimally invasive surgery. We have devised an alternative approach for laparoscopic cholecystectomy by inserting a single port at the umbilicus and using the abdominal wall-lifting method, without establishing pneumoperitoneum.

Methods: Retrospective analysis of 130 patients undergoing laparoscopic cholecystectomy was done to compare the conventional laparoscopic cholecystectomy (CLC) (n = 69) and the novel single-port laparoscopic cholecystectomy (SLC) using the abdominal wall-lifting method (n = 61). Read More

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September 2021

Post-laparoscopic cholecystectomy extra-hepatic arterial pseudoaneurysm: An uncommon complication.

Int J Surg Case Rep 2022 Jun 18;95:107221. Epub 2022 May 18.

Pir Abdul Qadir shah Jeelani institute of medical Sciences, Gambat, Sindh, Pakistan.

Laparoscopic cholecystectomy is widely practiced and is rarely associated with any major complication. The incidence of vascular complications related to laparoscopic cholecystectomy is reported to be 0.8%. Read More

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Outcome of early cholecystectomy compared to percutaneous drainage of gallbladder and delayed cholecystectomy for patients with acute cholecystitis: systematic review and meta-analysis.

HPB (Oxford) 2022 May 6. Epub 2022 May 6.

The Health Services Research Unit, University of Aberdeen, Foresterhill, Aberdeen, UK; Department of General Surgery, Aberdeen Royal Infirmary, NHS Grampian, UK.

Background: Compare outcomes of early laparoscopic cholecystectomy (ELC) and percutaneous trans-hepatic drainage of gallbladder (PTGBD) as an initial intervention for AC and to compare operative outcomes of ELC and delayed laparoscopic cholecystectomy (DLC).

Methods: English-language studies published until December 2020 were searched. Randomised controlled trials (RCTs) and observational studies compared EC and PTGBD with delayed cholecystectomy for patients presented with acute cholecystitis were considered. Read More

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Mirizzi Syndrome With Bouveret Syndrome: A Rare Amalgam.

Cureus 2022 Apr 16;14(4):e24187. Epub 2022 Apr 16.

Radiology and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, IND.

Mirizzi and Bouveret syndromes are uncommon but important complications of calculous cholecystitis. Mirizzi syndrome commonly presents with jaundice due to extrinsic compression on the common bile duct by an impacted stone at the gall bladder infundibulum, whereas Bouveret syndrome presents with gastric outlet obstruction due to a large stone in the duodenum. Our case is a 65-year-old lady who presented with pain in the right upper abdomen associated with nausea and vomiting. Read More

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Indocyanine green fluorescence: A surgeon's tool for the surgical approach of gallstone ileus.

Clin Case Rep 2022 May 9;10(5):e05873. Epub 2022 May 9.

Department of Surgery Carlos Roberto Huembes Hospital Universidad Nacional Autonoma de Nicaragua Managua Nicaragua.

Fluorescence cholangiography has been shown to improve biliary anatomy identification. A case of 60-year-old man with intestinal obstruction is reported, an entero-biliary fistula is suspected, and intravenous application of indocyanine green is decided, despite the great inflammatory process and fibrotic tissues found during the procedure, safe open cholecystectomy was achieved. Read More

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Thoracic spinal anaesthesia for abdominal surgery in a humanitarian military field hospital: a prospective observational study.

BMJ Mil Health 2022 May 13. Epub 2022 May 13.

Anesthesiology and Intensive Care, Cadi Ayyad University Faculty of Medicine and Pharmacy of Marrakech, Marrakech, Morocco.

Background: Providing safe and effective anaesthesia in the context of humanitarian medicine is always a challenging situation. Spinal anaesthesia, and in particular its thoracic approach, represents a promising technique for such a limited-resource environment. This prospective observational study investigated the feasibility of thoracic spinal anaesthesia (TSA) for abdominal surgery in a field-deployed military hospital. Read More

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Minimally invasive management of Mirizzi syndrome Va: Case series and narrative review of the literature.

Cir Esp (Engl Ed) 2022 Jul 4;100(7):404-409. Epub 2022 May 4.

Departamento de Medicina, Universidad El Bosque, Bogotá, Colombia.

Introduction: Mirizzi's Syndrome (MS) is a rare pathology, known to be a challenge for the surgeon. In the surgical management, open approach vs laparoscopic is a topic of discussion due to anatomic variations. The aim of this study is to analyze our experience in the laparoscopic management of this condition in Type Va. Read More

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Synchronous gallbladder metastasis originating from residual gastric cancer: a case report and the review of literature.

Surg Case Rep 2022 May 7;8(1):88. Epub 2022 May 7.

Department of Surgery, Matsuyama Red Cross Hospital, 1, Bunkyo-cho, Matsuyama, Ehime, 790-8524, Japan.

Background: Gastric cancer rarely metastasizes to the gallbladder. Furthermore, there has never been a case report of simultaneous gallbladder metastasis from residual gastric cancer. Here, we report a case of synchronous gallbladder metastasis originating from a residual gastric cancer. Read More

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