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https://www.readbyqxmd.com/read/27904308/laparoscopic-transcystic-treatment-biliary-calculi-by-laser-lithotripsy
#1
Jun Liu, Lan Jin, Zhongtao Zhang
BACKGROUND AND OBJECTIVES: Laparoscopic transcystic common bile duct exploration (LTCBDE) is a complex procedure requiring expertise in laparoscopic and choledochoscopic skills. The purpose of this study was to investigate the safety and feasibility of treating biliary calculi through laparoscopic transcystic exploration of the CBD via an ultrathin choledochoscope combined with dual-frequency laser lithotripsy. METHODS: From August 2011 through September 2014, 89 patients at our hospital were treated for cholecystolithiasis with biliary calculi...
October 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/27864721/intraoperative-endoscopic-nasobiliary-drainage-over-primary-closure-of-the-common-bile-duct-for-choledocholithiasis-combined-with-cholecystolithiasis-a-cohort-study-of-211-cases
#2
Pei Yin, Min Wang, Renyi Qin, Jian Zhang, Guangqin Xiao, Haifeng Yu, Zhiqiang Ding, Yahong Yu
BACKGROUND: Endoscopic nasobiliary drainage (ENBD) was often used for preoperative biliary drainage in cases like cholangiocarcinoma or acute obstructive suppurative cholangitis, reports on endoscopic nasobiliary drainage (ENBD) over primary closure of the common bile duct (CBD) are limited. This study compares outcomes of laparoscopic cholecystectomy (LC) + laparoscopic CBD exploration (LCBDE) + intraoperative ENBD + primary closure of CBD with equivalent patients who underwent preoperative endoscopic retrograde cholangiopancreatography (ERCP) and subsequent LC...
November 18, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27819646/from-laparoscopic-cholecystectomy-to-liver-transplantation-when-the-gallbladder-becomes-the-pandora-s-box
#3
Georgios C Sotiropoulos, Peter Tsaparas, Stylianos Kykalos, Nikolaos Machairas, Ernesto P Molmenti, Andreas Paul
Bile duct injuries (BDI) tend to be more complex in laparoscopic than in open cholecystectomy procedures, and frequently involve young adults with benign pathologies. The ultimate consequence may be a liver transplantation (LT), making this situation one of the most rare transplant indications. Fatal post-transplant outcome is extreme infrequently reported. Aim of this study is to report on our single-case experience and to review the literature concerning lethal outcome after LT for major BDI following cholecystectomy...
2016: Chirurgia
https://www.readbyqxmd.com/read/27698845/multidisciplinary-collaboration-in-gallbladder-carcinoma-treatment-a-case-report-and-literature-review
#4
Zheng-Yun Zou, Jing Yan, Yu-Zheng Zhuge, Jun Chen, Xiao-Ping Qian, Bao-Rui Liu
Gallbladder carcinoma (GBC) is a rare and highly aggressive disease. The diagnosis of this cancer is difficult due to its occult onset. Hence, GBC is often detected late and at an advanced stage. Although physicians and researchers are continually working to improve the treatment for advanced-stage disease, GBC is usually associated with short survival times. The present study describes a case of GBC that was first diagnosed with accompanying cholecystolithiasis at the time of cholecystectomy. Cancer relapse occurred 1...
October 2016: Oncology Letters
https://www.readbyqxmd.com/read/27698730/surgical-treatment-of-incarcerated-calculi-via-laparoscopic-bile-duct-exploration-using-laparotomy-biliary-lithotomy-forceps
#5
H Jiang, S Y Wang, X L Jin, J C Jin, H B Gu, F M Zhang
The present study aimed to investigate the practicability and clinical value of applying laparotomy biliary lithotomy forceps to laparoscopic bile duct exploration (LCBDE) for the surgical treatment of incarcerated calculi. A total of 63 patients were diagnosed with cholecystolithiasis and choledocholithiasis. The present study performed a retrospective analysis of clinical samples from 16 of these patients who had incarcerated calculi at the terminus of the common bile duct, and who had been treated with laparoscopic cholecystectomy and LCBDE...
October 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27677868/less-pain-after-transvaginal-cholecystectomy-single-center-pooled-analysis
#6
Dietmar H Borchert, Matthias Federlein, Oskar Rückbeil, Jakob Schöpe
BACKGROUND: We previously reported outcome after transvaginal cholecystectomy (TVC) from two cohort studies and a randomized controlled trial. We now present a pooled analysis of postoperative pain scores. DESIGN: Single-center data of postoperative pain after TVC from a level II hospital between October 2007 and June 2012. METHODS: Female patients, above 18 years with symptomatic cholecystolithiasis, received either TVC or conventional laparoscopic cholecystectomy (CLC)...
September 27, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27629956/successful-conservative-treatment-of-a-cholecystoduodenal-fistula-caused-by-a-cytomegalovirus-associated-duodenal-ulcer
#7
Hideki Mori, Moriya Zakimi, Shin Kato, Koki Yamada, Kenji Chinen, Tomiaki Kubota, Masayuki Arashiro, Susumu Shinoura, Kaoru Kikuchi
An 87-year-old woman on oral prednisolone was diagnosed with a cholecystoduodenal fistula (CDF) caused by a cytomegalovirus-associated duodenal ulcer (DU) and was managed conservatively. A CDF caused by a DU is extremely rare. Although surgical repair is recommended for the treatment of a CDF caused by cholecystolithiasis, appropriate treatment for CDF caused by a DU remains controversial. This case report of a CDF caused by a DU suggests that conservative treatment is feasible in the absence of DU-associated complications, such as an untreatable hemorrhage or obstruction; this finding is compatible with previously reported cases that were conservatively treated...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27579981/endoscopic-laparoscopic-cholecystolithotomy-in-treatment-of-cholecystolithiasis-compared-with-traditional-laparoscopic-cholecystectomy
#8
Yang Zhang, Jian Peng, Xiaoli Li, Mingmei Liao
The study aimed to compare the application values of endoscopic-laparoscopic cholecystolithotomy (ELC) and laparoscopic cholecystectomy (LC) for patients with cholecystolithiasis. It did a retrospective analysis of 107 patients with cholecystolithiasis who underwent ELC and 144 patients with cholecystolithiasis who underwent LC. There is no significant difference in operating time and expenses when comparing ELC with LC (P>0.05). ELC showed significantly less blood loss during operation compared with LC (P<0...
October 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27540304/incidental-gallbladder-cancer-after-cholecystectomy-1990-to-2014
#9
Tadeusz Dorobisz, Karolina Dorobisz, Mariusz Chabowski, Wiktor Pawłowski, Dawid Janczak, Dariusz Patrzałek, Dariusz Janczak
INTRODUCTION: Cancer of the gallbladder is a serious diagnostic and therapeutic problem. According to the literature, 30% of cases are not confirmed before surgery. Other cases are detected incidentally by histopathology. Clinical trials and meta-analyses show that incidental gallbladder cancer (iGBC) occurs in 0.19%-2.8% of patients after cholecystectomy. The aim of this study was to analyze the incidence and severity of iGBC in cholecystectomy procedures performed in the surgical department at the 4th Military Teaching Hospital in Wroclaw during the years 1990-2014...
2016: OncoTargets and Therapy
https://www.readbyqxmd.com/read/27502173/biliary-polyunsaturated-fatty-acids-and-telocytes-in-gallstone-disease
#10
Artur Pasternak, Jolanta Bugajska, Mirosław Szura, Jerzy A Walocha, Andrzej Matyja, Mariusz Gajda, Krystyna Sztefko, Krzysztof Gil
It has been reported that intake of ω-3 polyunsaturated fatty acids (PUFA) reduces the risk of coronary heart disease. It also influences the bile composition, decreasing biliary cholesterol saturation in the bile of patients with gallstones. In addition to bile composition disturbances, gallbladder hypomotility must be co-factor in the pathogenesis of cholelithiasis as it leads to the prolonged nucleation phase. Our current knowledge about gallbladder motility has been enhanced by the study of a population of newly described interstitial (stromal) cells - telocytes (TCs)...
August 5, 2016: Cell Transplantation
https://www.readbyqxmd.com/read/27497939/effectiveness-of-a-barbed-suture-in-the-repair-of-bile-duct-injury-during-laparoscopic-cholecystectomy-report-of-two-cases
#11
Yusuke Takahashi, Naoyuki Yokoyama, Natsumi Matsuzawa, Daisuke Sato, Tetsuya Otani
INTRODUCTION: Bile duct injury during laparoscopic cholecystectomy occurs in rare cases. We report two cases using barbed suture for repair in bile duct injury during laparoscopic cholecystectomies. PRESENTATION OF CASES: The first patient was a 73-year-old woman who underwent elective laparoscopic cholecystectomy for cholecystolithiasis. When the gallbladder was dissected from the bed, bile spillage was observed and an injured small bile duct was detected. The bile duct could not be managed using a titanium clip...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27457076/gallbladder-small-cell-carcinoma-a-case-report-and-literature-review
#12
Toshiyuki Adachi, Masashi Haraguchi, Junji Irie, Tomoko Yoshimoto, Ryohei Uehara, Shinichiro Ito, Hirotaka Tokai, Kazumasa Noda, Nobuhiro Tada, Masataka Hirabaru, Keiji Inoue, Shigeki Minami, Susumu Eguchi
Gallbladder small cell carcinoma (SCC) comprises only 0.5 % of all gallbladder cancer and consists of aggressive tumors with poor survival outcomes against current treatments. These tumors are most common in elderly females, particularly those with cholecystolithiasis. We report the case of a 79-year-old woman with gallbladder small cell carcinoma. The patient had intermittent right upper quadrant abdominal pain and was admitted to our hospital due to suspected acute cholecystitis. She regularly received medical treatment for diabetes, hypertension, and dyslipidemia...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27445110/single-stage-laparoscopic-cholecystectomy-and-intraoperative-endoscopic-retrograde-cholangiopancreatography-is-this-strategy-feasible-in-australia
#13
Brayden March, David Burnett, Jon Gani
Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscopic cholecystectomy (LC) and pre or postoperative endoscopic retrograde cholangiopancreatography (ERCP). This approach exposes the patient to the risk of complications from the common bile duct stone(s) while awaiting ERCP, the risks of the ERCP itself (particularly pancreatitis) and the need for a second anaesthetic. This article explores the evidence for a newer hybrid approach, single stage LC and intraoperative ERCP (SSLCE) and compares this approach with the commonly used alternatives...
July 21, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27431317/compliance-of-clinical-pathways-in-elective-laparoscopic-cholecystectomy-evaluation-of-different-implementation-methods
#14
Martin Holderried, Rebecca Hummel, Claudius Falch, Andreas Kirschniak, Alfred Koenigsrainer, Christian Ernst, Sven Muller
BACKGROUND: Clinical pathways aim to standardize perioperative and postoperative care of surgical procedures and are shown to result in a significant optimization associated with cost reduction. The aim of this study was to establish the impact of two different implementations forms of clinical pathways on the pathway compliance and resulting costs. METHODS: Data of patients undergoing elective cholecystectomy for symptomatic cholecystolithiasis were collected over two different periods: using a clinical pathway in the form of a paper-based checklist, or a clinical pathway integrated into the paper-based medical treatment and nursing documentation...
July 18, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27411788/a-randomized-controlled-trial-to-compare-a-restrictive-strategy-to-usual-care-for-the-effectiveness-of-cholecystectomy-in-patients-with-symptomatic-gallstones-secure-trial-protocol
#15
P R de Reuver, A H van Dijk, S Z Wennmacker, M P Lamberts, D Boerma, B L den Oudsten, M G W Dijkgraaf, S C Donkervoort, J A Roukema, G P Westert, J P H Drenth, C J H van Laarhoven, M A Boermeester
BACKGROUND: Five to 22 % of the adult Western population has gallstones. Among them, 13 to 22 % become symptomatic during their lifetime. Cholecystectomy is the preferred treatment for symptomatic cholecystolithiasis. Remarkably, cholecystectomy provides symptom relief in only 60-70 % of patients. The objective of this trial is to compare the effectiveness of usual (operative) care with a restrictive strategy using a standardized work-up with stepwise selection for cholecystectomy in patients with gallstones and abdominal complaints...
July 13, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27322515/cholelithiasis-in-children-with-chd-is-it-a-problem
#16
Simon Kargl, Roland Gitter, Wolfgang Pumberger
BACKGROUND: An association of heart disease and its treatment with biliary calculi is popularly accepted. We sought determine the prevalence and risk factors of paediatric gallstone disease in the presence of CHD and analyse the treatment options. We evaluated the role of open-heart surgery in the development of gallstones in patients with CHD. Patients and methods In a 10-year, retrospective, chart review (2005-2014), patients with CHD and cholelithiasis were identified and reviewed...
June 20, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27283337/preoperative-hypoalbuminemia-is-an-independent-risk-factor-for-conversion-from-laparoscopic-to-open-cholecystectomy-in-patients-with-cholecystolithiasis
#17
Mitsuru Ishizuka, Norisuke Shibuya, Mitsugi Shimoda, Masato Kato, Taku Aoki, Keiichi Kubota
INTRODUCTION: Laparoscopic cholecystectomy (LC) is regarded as the first choice for patients with cholecystolithiasis, but some patients require conversion to open cholecystectomy (OC) because of inflammation-related incidents. Therefore, the aim of this study is to explore the risk factors for conversion to OC in patients undergoing elective LC for cholecystolithiasis. METHODS: This study included 461 patients who underwent elective LC for cholecystolithiasis were between April 2000 and September 2010...
June 9, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27258800/robotic-single-port-laparoscopic-cholecystectomy-is-safe-but-faces-technical-challenges
#18
Yoen T K van der Linden, Hylke J F Brenkman, Sylvia van der Horst, Wilhelmina M U van Grevenstein, Richard van Hillegersberg, Jelle P Ruurda
BACKGROUND: For cholecystectomy, multiport laparoscopy is the recommended surgical approach. Single-port laparoscopy (SPL) was introduced to reduce postoperative pain and provide better cosmetic results, but has technical disadvantages. Robotic SPL (RSPL) was developed to overcome these disadvantages. In this prospective study, we aim to describe intraoperative results and postoperative outcomes of RSPL cholecystectomies and evaluate technical aspects of the technique. METHODS: A prospective database of all patients who underwent a RSPL cholecystectomy between January 2012 and December 2014 was analyzed...
June 3, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27194258/consistency-of-patient-reported-outcomes-after-cholecystectomy-and-their-implications-on-current-surgical-practice-a-prospective-multicenter-cohort-study
#19
Sarah Wennmacker, Mark Lamberts, Jos Gerritsen, Jan Anne Roukema, Gert Westert, Joost Drenth, Cornelis van Laarhoven
BACKGROUND: Persistent postoperative pain (up to 41 %) and significant practice variation necessitate better patient selection for cholecystectomy. Patient-reported outcome measures (PROMs) are nowadays known to serve as a tool for better patient selection, although variability within these subjective outcomes may be a point for debate. This study determines associations of both the preoperative pain and patient characteristics with PROMs at 24 weeks after cholecystectomy. In order to evaluate variability of PROMs, we also determined consistency of these outcomes in time...
May 18, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27188580/episodic-abdominal-pain-characteristics-are-not-associated-with-clinically-relevant-improvement-of-health-status-after-cholecystectomy
#20
Mark P Lamberts, Wietske Kievit, Jos J G M Gerritsen, Jan A Roukema, Gert P Westert, Joost P H Drenth, Cornelis J H M van Laarhoven
BACKGROUND: Cholecystectomy is the therapy of first choice in patients with uncomplicated symptomatic cholecystolithiasis, but it remains unclear which patients truly benefit in terms of health status improvement. Patients generally present with episodic abdominal pain of varying frequency, duration, and intensity. We assessed whether characteristics of abdominal pain episodes are determinants of clinically relevant improvement of health status after cholecystectomy. METHODS: In a post hoc analysis of a prospective multicenter cohort study, patients of ≥18 years of age with uncomplicated symptomatic cholecystolithiasis subjected to cholecystectomy were included...
July 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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