39,524 results match your criteria cholecystectomy


Predictors of Difficult Laparoscopic Cholecystectomy on Humanitarian Missions to Peru Difficult LC in Surgical Missions.

J Surg Res 2021 Jun 19;267:102-108. Epub 2021 Jun 19.

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

Background: Laparoscopic cholecystectomy (LC) is the gold standard treatment of gallstone disease. On short-term surgical missions (STSMs), it is unclear what factors can predict safety of LC. This study evaluates patient risk factors of difficult LC in Northern Peru, towards optimizing outcomes. Read More

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Performance of Residents During Laparoscopic Cholecystectomy: Is Self-assessment Reliable?

Surg Laparosc Endosc Percutan Tech 2021 May 24. Epub 2021 May 24.

*Department of General Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat †General Surgery Department, Çankiri State Hospital, Çankiri, Turkey.

Background: To compare the self-assessment of surgical residents and observers (faculty members and nurses) during laparoscopic cholecystectomy (LC).

Materials And Methods: A prospective observational study was conducted between February 2020 and July 2020 at a medical school hospital. Seventy-four LC surgeries were performed by surgical residents in the presence of faculty members. Read More

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National Trends and Disparities in the Diffusion of Laparoscopic Surgery for Children in the United States.

J Laparoendosc Adv Surg Tech A 2021 Jun 21. Epub 2021 Jun 21.

Surgical Outcomes Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Laparoscopic surgery has become the standard of care for many surgical treatments. The diffusion of laparoscopy has been investigated for adult patient populations but is still unknown for pediatric populations. This study sought to describe national trends in diffusion of laparoscopic surgery for common pediatric conditions and identify disparities in use of laparoscopic surgery. Read More

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Synchronous Metastatic Clear Cell Renal Cell Carcinoma to the Gallbladder With Metachronous Contralateral Recurrence.

Cureus 2021 May 13;13(5):e15007. Epub 2021 May 13.

Department of Urology, University of South Florida, Tampa, USA.

Renal cell carcinoma (RCC) classically metastasizes to the lungs, bones, adrenals, lymph nodes, liver, and brain. RCC metastasis to the gallbladder is rare occurring in less than 1% of metastases. We present a case of a 60-year-old male who at initial diagnosis of his large left renal mass was incidentally found to have a gallbladder mass. Read More

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Reducing waiting lists for laparoscopic cholecystectomy: An intensive approach to aid COVID-19 recovery.

Eur Surg 2021 Jun 14:1-4. Epub 2021 Jun 14.

St Helens and Knowsley Teaching Hospitals NHS Trust, Warrington Road, L35 5DR Prescot, UK.

Background: Laparoscopic cholecystectomy is one of the most frequently performed operations in the United Kingdom, commonly due to symptomatic gallstones. Delay between diagnosis and definitive surgical intervention often leads to a significant readmission rate, growing financial burden and increased complexity of the ultimate surgical intervention. Resource reallocation and reduced operational capacity during the coronavirus disease 2019 (COVID-19) pandemic has led to an impending waiting list crisis. Read More

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Complete enclosure of gall bladder inside the lesser omentum - a rare anomaly.

Morphologie 2021 Jun 16. Epub 2021 Jun 16.

Department of Mathematics, Manipal Institute of Technology, Manipal Academy of Higher Education, Madhav Nagar, Manipal, Karnataka State, India.

Gall bladder is known for many congenital anomalies such as duplication, intrahepatic position, floating position etc. Most of its anomalies can be detected in ultrasound examination and radiography. We report an extremely rare congenital anomaly of gall bladder as observed in a male cadaver during dissection classes. Read More

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Scoring system for gallbladder polyps based on the cross-sectional area and patient characteristics.

Asian J Surg 2021 Jun 16. Epub 2021 Jun 16.

Department of Hepatological Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. Electronic address:

Background: Current management guidelines for gallbladder polyps (GBPs) focus on a diameter more than 1 cm as an indication for cholecystectomy. Since most GBPs are not malignant, unnecessary cholecystectomies can lead to unnecessary complications and costs. We developed a score to identify true polyps focusing on their cross-sectional area (CSA). Read More

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A contemporary analysis of xanthogranulomatous cholecystitis in a Western cohort.

Surgery 2021 Jun 16. Epub 2021 Jun 16.

Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA. Electronic address:

Background: Xanthogranulomatous cholecystitis is a particularly destructive variant of cholecystitis marked by unique inflammatory changes evident in pathologic specimens. Multiple case series have evaluated this process. However, these often focus on differentiating it from malignancy and have largely been conducted in Asia, where the disease may differ from that seen in the Western hemisphere. Read More

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Hepatoduodenal fistula closure diagnosed and characterized Ecoendoscopically (EUS) and managed by OTSC CLIP OVESCO: A case report.

Int J Surg Case Rep 2021 Jun 8;84:106093. Epub 2021 Jun 8.

Division of Gastroenterology and digestive surgery, FOSCAL Clinic, Floridablanca, Santander, Colombia.

Introduction: Gastrointestinal (GI) tract perforations are a significant source of morbidity in clinical practice; therefore, an early diagnosis is fundamental for early management. In management, surgery is the definitive therapy; however, there is evidence of a strong response to conservative measurements.

Presentation Of Case: A 53-year-old man known for a laparoscopic cholecystectomy with difficult access and postoperative complications was admitted to our emergency department due to a five-day clinical history comprising acute abdominal pain and feverish peaks up to 38. Read More

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Diagnostic complexity in the older patient: an unusual presentation of advanced biliary disease.

Age Ageing 2021 Jun 18. Epub 2021 Jun 18.

Consultant in Geriatric Medicine, Department of Geriatric Medicine, Doncaster Royal Infirmary, Doncaster DN2 5LT, UK.

Biliary disease is common in the older population, and gallbladder dysfunction and increased bile lithogenicity predispose to calculi formation. This case demonstrates an unusual presentation of gallbladder empyema. A 90-year-old male with metastatic prostate cancer presented with hypoactive delirium. Read More

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Feasibility of oral antibiotic prophylaxis in elective laparoscopic cholecystectomy during periods of limited cefazolin supply.

Asian J Endosc Surg 2021 Jun 19. Epub 2021 Jun 19.

Department of Surgery, Kasai Shoikai Hospital, Tokyo, Japan.

Introduction: In March 2019, the supply of cefazolin sodium (CEZ) became difficult owing to contamination of the drug substance. We investigated the efficacy and safety of the oral administration of cephalexin (CEX) in preventing infectious complications following elective laparoscopic cholecystectomy (LC).

Methods: From July 2018 to June 2019, 1 g of CEZ was administered intravenously within 30 min prior to LC (IV group). Read More

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The effect of prolonged antibiotics on postoperative complications for common bile duct stones: A post hoc analysis of an EAST multicenter study.

J Trauma Acute Care Surg 2021 Jul;91(1):234-240

From the Department of Surgery (B.M.T.), The Ohio State University Wexner Medical Center, Columbus, Ohio; Department of Surgery (C.W.P.), Emory University School of Medicine; Division of Acute Care Surgery (C.W.P., R.B.G.), Grady Memorial Hospital, Atlanta, Georgia; Department of Surgery (D.M.T., K.Y.), Geisinger Medical Center, Danville, Pennsylvania; Department of Surgery (J.M.S., D.P.K.), Ascension St. Vincent Hospital, Indianapolis, Indiana; Department of Trauma, Critical Care, and General Surgery (M.D.Z., M.C.), Mayo Clinic, Rochester, Minnesota; Department of Surgery (D.D.Y.), Jackson Memorial Hospital-University of Miami Health System, Miami, Florida; and Division of Acute Care Surgery (R.B.G.), University of Alabama at Birmingham, Birmingham, Alabama.

Background: Antimicrobial guidance for common bile duct (CBD) stones is limited. We sought to examine the effect of antibiotic duration on infectious complications in patients with choledocholithiasis and/or gallstone pancreatitis.

Methods: We performed a post hoc analysis of a prospective, observational, multicenter study of patients undergoing same admission cholecystectomy for choledocholithiasis and gallstone pancreatitis between 2016 and 2019. Read More

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Spontaneous cystic biloma after laparoscopic cholecystectomy treated conservatively: A case report.

Ann Med Surg (Lond) 2021 Jun 31;66:102435. Epub 2021 May 31.

Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta 55281, Faculty of Medicine, Universitas Gadjah Mada/Dr Sardjito Hospital, Yogyakarta, Indonesia.

Introduction: Biloma forms due to common bile duct (CBD) injury as a laparoscopic cholecystectomy complication. Spontaneous localized biloma forming cysts in the biliary duct is rare.

Presentation Of Case: We report a 47-year-old male with complaint of a painful lump in the upper abdomen two months after laparoscopic cholecystectomy. Read More

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Carcinosarcoma of the gallbladder diagnosed in a cholecystectomy specimen.

Rev Esp Enferm Dig 2021 Jun 18. Epub 2021 Jun 18.

Anatomía Patológica, Hospital Nuestra Señora del Prado.

A 79-year-old male patient with complicated cholecystitis underwent cholecystectomy. In the anatomopathological study of the surgical specimen an adenocarcinoma with sarcomatoid differentiation of the chondrosarcoma type was diagnosed. This rare tumor has a worse prognosis than the usual adenocarcinomas. Read More

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Emphysematous pancreatitis: a rare entity with characteristic radiological findings.

Rev Esp Enferm Dig 2021 Jun 18. Epub 2021 Jun 18.

Aparato Digestivo, Hospital General Universitario de Ciudad Real, España.

Case Report: A 53-year-old male with a history of acute pancreatitis of biliary origin and subsequent laparoscopic cholecystectomy. Current hospitalization with a diagnosis of acute pancreatitis. Seventy-two hours after the onset of symptoms, he had fever, uncontrolled pain, and elevated inflammatory markers. Read More

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Concomitant hilar cholangiocarcinoma with choledochal cyst and cholelithiasis in an asymptomatic patient: A case report.

Int J Surg Case Rep 2021 Jun 11;84:106094. Epub 2021 Jun 11.

Department of GI and General Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.

Introduction And Importance: Choledochal cyst is an important risk factor for cholangiocarcinoma. Concomitant hilar cholangiocarcinoma with choledochal cyst with cholelithiasis is a rare finding.

Case Presentation: A 52-year-old male presented with non-specific complaints of generalized weakness for 3 months. Read More

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Gallbladder adenomyomatosis: Diagnosis and management.

Int J Surg Case Rep 2021 Jun 11;84:106089. Epub 2021 Jun 11.

Anaesthesiology and Reanimation Department, Jendouba Hospital, Tunisia; Tunis El Manar University, Tunisia.

Introduction: Gallbladder adenomyomatosis is a benign acquired gallbladder disease. It can mimic cancer on radiological findings, leading to a diagnostic dilemma. The management and prognosis of these two gallbladder anomalies are entirely different. Read More

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The deceitful diagnosis of gallbladder volvulus: A case report.

Int J Surg Case Rep 2021 Jun 11;84:106114. Epub 2021 Jun 11.

Anaesthesiology and Reanimation Department, Jendouba Hospital, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.

Introduction And Importance: The gallbladder volvulus is a rare but life-threatening condition characterized by an axial torsion of the gallbladder along the cystic pedicle, causing gallbladder ischemia and necrosis. This paper aims to present and discuss a rare case of gallbladder volvulus. This case report has been reported in line with the SCARE criteria 2020 [1]. Read More

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Minimizing the hidden dangers of cholecystectomy in vascular Ehlers-Danlos syndrome through a multidisciplinary approach.

Clin Case Rep 2021 Jun 10;9(6):e04090. Epub 2021 Jun 10.

Norfolk and Norwich University Hospitals NHS Foundation Trust Norwich UK.

Ehlers-Danlos syndrome, specifically EDS4, can be a dangerous condition. Clinicians should be aware of this when referring such patients for any interventional procedure. An MDT approach should be adopted to help plan perioperative treatment and care. Read More

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Diffuse Gallbladder Adenomyomatosis in a Child.

Cureus 2021 Jun 9;13(6):e15555. Epub 2021 Jun 9.

Radiology, Hanoi Medical University, Hanoi, VNM.

Adenomyomatosis of the gallbladder is a benign condition, usually occurring in middle age, in which the epithelium of the gallbladder proliferates and the gallbladder wall thickens with the presence of Rokitansky-Aschoff sinuses (RAS). The diffuse form is an unusual subtype of adenomyomatosis. Herein, we describe a 17-year-old female who presented with dull and intermittent pain in the right hypochondriac region for more than a month. Read More

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The optimal timing of interval laparoscopic cholecystectomy following percutaneous cholecystostomy based on pathological findings and the incidence of biliary events.

J Hepatobiliary Pancreat Sci 2021 Jun 15. Epub 2021 Jun 15.

Division of General Surgery, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.

Background: The incidence of biliary events (BE) following percutaneous cholecystostomy (PC) in acute cholecystitis (AC) patients is high. Therefore, definitive laparoscopic cholecystectomy (LC) is recommended. We aimed to investigate the optimal timing of LC following PC with regard to the clinical course and pathological findings. Read More

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Fibrin Sealant for Prevention of Bile Leakage After Laparoscopic Common Bile Duct Incision: Outcome of a Randomized Controlled Trial.

J Laparoendosc Adv Surg Tech A 2021 Jun 14. Epub 2021 Jun 14.

Department of Clinical Science and Education, Karolinska Institute, Södersjukhuset, Stockholm, Sweden.

There are several methods used to extract common bile duct (CBD) stones encountered during cholecystectomy. Intraoperative cholangiotomy, cholangioscopy, and laparoscopic CBD exploration (LCBDE) are techniques that allow removal of stones from the CBD during the index procedure. However, bile leakage following CBD exploration is a common problem. Read More

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A Review of the Management of Bile Leaks.

Cureus 2021 May 10;13(5):e14937. Epub 2021 May 10.

General Surgery, Cleveland Clinic Foundation Euclid Hospital, Cleveland, USA.

Bile leaks can be a complication of abdominal surgeries, specifically trauma to the biliary system during laparoscopic cholecystectomy, and can occur from a variety of sources, commonly a bile duct injury (BDI). Their management involves a multidisciplinary approach and depends on a multitude of factors. This consequence has also led to increased health care costs and morbidity and mortality for patients. Read More

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The Association Between Cholecystectomy and the Risk for Fracture: A Nationwide Population-Based Cohort Study in Korea.

Front Endocrinol (Lausanne) 2021 27;12:657488. Epub 2021 May 27.

Department of Internal Medicine and Seoul National University Bundang Hospital, Seongnam, South Korea.

Objectives: To evaluate the risk of fracture in individuals with a history of cholecystectomy in Korean population.

Methods: Individuals (n = 143,667) aged ≥ 40 y who underwent cholecystectomy between 2010 and 2015 and the controls (n = 255,522), matched by age and sex, were identified from the database of the Korean National Health Insurance Services. The adjusted hazard ratio (aHR) and 95% confidence interval (CI) of fracture were estimated following cholecystectomy, and a Cox regression analysis was performed. Read More

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Multimodal Analgesia With Long-Acting Dinalbuphine Sebacate Plus Transversus Abdominis Plane Block for Perioperative Pain Management in Bariatric Surgery: A Case Report.

Front Pharmacol 2021 28;12:683782. Epub 2021 May 28.

School of Medicine, Fu-Jen Catholic University, New Taipei, Taiwan.

Laparoscopic bariatric surgery is increasingly performed in morbidly obese patients. However, post-surgical pain is common and is usually managed with classical opioids such as morphine and fentanyl. Further, morbidly obese patients are predisposed to opioid-related side effects, especially post-operative nausea and vomiting (PONV), and respiratory depression. Read More

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Gastric outlet obstruction - looking for a syndrome: Bouveret or Mirizzi?

Int J Surg Case Rep 2021 Jun 8;84:106098. Epub 2021 Jun 8.

Department of Digestive Surgery, Sacred Heart Hospital, Beirut, Lebanon.

Introduction And Importance: Gastric outlet obstruction can result from any pathological process that causes intrinsic blockage or extrinsic pressure on the distal stomach and duodenum. Gallstone related gastric outlet obstruction is a well-known entity classically due to a cholecystoenteric fistula formation.

Case Presentation: We present here a case of a 36-year-old man who presented with right upper quadrant abdominal pain associated with marked nausea and vomiting. Read More

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Comparison between intravenous and intratecal clonidine for postoperative analgesia of patients submitted to laparoscopic cholecystectomy: randomized clinical trial.

Braz J Anesthesiol 2021 Jun 10. Epub 2021 Jun 10.

Universidade Federal do Amazonas, Programa de Pós-Graduação em Cirurgia (PPGRACI), Manaus, AM, Brazil; Universidade Federal do Amazonas (UFAM), Faculdade de Medicina, Anestesiologia, Manaus, AM, Brazil; Universidade do Estado do Amazonas (UEA), Manaus, AM, Brazil.

Introduction And Objectives: Alpha2 adrenergic agonists, such as clonidine, are used as adjuvants during anesthesia due to their analgesic, sedative, and cardiovascular effects. The objective of the present study was to compare the effect of clonidine administered intravenously and intrathecally on the postoperative pain score of patients undergoing laparoscopic cholecystectomy, according to the route of administration and postoperative opioid consumption.

Methods: This randomized clinical trial, blind to patients and evaluator, assessed 60 patients, candidates for elective laparoscopic cholecystectomy under standardized general anesthesia techniques. Read More

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Anticoagulant-induced hemorrhagic cholecystitis with hemobilia after deceased donor kidney transplant and literature review.

Int J Surg Case Rep 2021 May 26;84:106027. Epub 2021 May 26.

Augusta University, Department of Surgery, United States of America. Electronic address:

Introduction And Importance: Hemobilia and hemorrhagic cholecystitis are uncommon causes of right upper quadrant abdominal pain. The development of intra-gallbladder and biliary bleeding has been primarily associated with abdominal trauma, malignancy, liver transplant, and iatrogenic injury to the biliary tree and vasculature. Spontaneous anticoagulant induced hemorrhagic cholecystitis and hemobilia are incredibly rare events and have only been documented by a handful of case reports. Read More

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A Fast-track Pathway for Emergency General Surgery at an Academic Medical Center.

J Surg Res 2021 Jun 8;267:1-8. Epub 2021 Jun 8.

Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts. Electronic address:

Background: Fast Track Pathways (FTP) directed at reducing length of stay (LOS) and overall costs are being increasingly implemented for emergency surgeries. The purpose of this study is to evaluate implementation of a FTP for Emergency General Surgery (EGS) at an academic medical center (AMC).

Methods: The study included 165 patients at an AMC between 2016 and 2018 who underwent laparoscopic appendectomy (LA), laparoscopic cholecystectomy (LC), or laparoscopic inguinal hernia repair (LI). Read More

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Degree of biliary tract violation during treatment of gallbladder adenocarcinoma is independently associated with development of peritoneal carcinomatosis.

J Surg Oncol 2021 Jun 11. Epub 2021 Jun 11.

The Knight Cancer Institute at OHSU, Portland, Oregon, USA.

Background: Gallbladder cancer (GBC) is often incidentally diagnosed after cholecystectomy. Intra-operative biliary tract violations (BTV) have been recently associated with development of peritoneal disease (PD). The degree of BTV may be associated with PD risk, but has not been previously investigated. Read More

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