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JOURNAL ARTICLE
J M Aranda-Nárvaez, P Fernández-Galeano, L Romacho-López, I Cabrera-Serna, A Titos-García, I Mirón-Fernández, J Santoyo-Santoyo
PURPOSE: To analyze if, after implementation of an evidence-based local multidisciplinary protocol for acute cholecystitis (AC), an intermediate surgical audit could improve early cholecystectomy (EC) rate and other therapeutic indicators. METHODS: Longitudinal cohort study at a tertiary center. The local protocol, promoted, created, and periodically revised by the Acute Care Surgery Unit (ACSu) was updated and approved on March 2019. A specific registry was prospectively fulfilled with demographics, comorbidity, type of presentation, diagnostic items, therapeutic decision, and clinical course, considering both non-operative management (NOM) or cholecystectomy, early and delayed (EC and DC)...
April 18, 2024: Langenbeck's Archives of Surgery
#2
EDITORIAL
Dushyant Singh Dahiya, Antonio Facciorusso, Saurabh Chandan, Amir Humza Sohail, Manesh Kumar Gangwani, Gianluca Franchellucci, Benedetto Mangiavillano
No abstract text is available yet for this article.
April 3, 2024: Hepatobiliary Surgery and Nutrition
#3
JOURNAL ARTICLE
Anupamaa Seshadri, Andrew B Peitzman
This review discusses the grading of cholecystitis, the optimal timing of cholecystectomy, adopting a culture of safe cholecystectomy, understanding the common error traps that can lead to intraoperative complications and how to avoid them. The Tokyo Guidelines, AAST, Nassar and Parkland scoring systems are discussed. The patient factors, physiologic status and operative findings that predict a difficult cholecystectomy or conversion from laparoscopic to open cholecystectomy are reviewed. With laparoscopic expertise and patient conditions that are not prohibitive, early laparoscopic cholecystectomy is recommended...
April 10, 2024: Journal of Trauma and Acute Care Surgery
#4
JOURNAL ARTICLE
Ghazal Zandieh, Iman Yazdaninia, Shadi Afyouni, Mohamadreza Shaghaghi, Ali Borhani, Alireza Mohseni, Shiva Shaghaghi, Robert Liddell, Ihab R Kamel
This study reviews the spectrum of imaging findings and complications after transarterial chemoembolization (TACE) for the treatment of primary liver tumors (hepatocellular carcinoma, cholangiocarcinoma) and liver metastases. The review encompasses a spectrum of imaging criteria for assessing treatment response, including the modified Response Evaluation Criteria in Solid Tumors guidelines, tumor enhancement, and apparent diffusion coefficient alterations.We discuss the expected posttreatment changes and imaging responses to TACE, describing favorable and poor responses...
April 10, 2024: Journal of Computer Assisted Tomography
#5
JOURNAL ARTICLE
Liling Chen, Xinyuan Chen
PURPOSE: This study aimed to evaluate the diagnostic value of the different Complete blood count-derived systemic inflammation indexes, including neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index (SII), and neutrophil to lymphocyte × platelet ratio (NLPR) in differential diagnosing the chronic calculus cholecystitis (CCC) and the acute calculus cholecystitis (ACC), as well as determining the severity of ACC. PATIENTS AND METHODS: 105 CCC and 88 ACC patients were enrolled...
2024: Journal of Inflammation Research
#6
JOURNAL ARTICLE
Kei Naito, Kotaro Suda, Kimio Shinoda, Takahiro Hashiba, Wataru Sano, Tsuyoshi Chiku, Katsuhiko Ando, Masayuki Ohtsuka
INTRODUCTION: Tokyo Guidelines 2018 (TG18) recommend early laparoscopic cholecystectomy (LC) for low-risk acute cholecystitis (AC); however, some patients undergo delayed LC (DLC) after conservative treatment. DLC, influenced by chronic inflammation, is a difficult procedure. Previous studies on LC difficulty lacked objective measures. Recently, TG18 introduced a novel 25 findings difficulty score, which objectively assesses intraoperative factors. The purpose of this study was to use the difficulty score proposed in TG18 to identify and investigate the predictors of preoperative high-difficulty cases of DLC for AC...
April 2024: Asian Journal of Endoscopic Surgery
#7
JOURNAL ARTICLE
Kali Kuhlenschmidt, Luis R Taveras, Kevin M Schuster, Haytham M Kaafarani, Majed El Hechi, Ruchir Puri, Marie Crandall, Thomas J Schroeppel, Michael W Cripps
BACKGROUND: In a large multicenter trial, The Parkland Grading Scale(PGS) for acute cholecystitis outperformed other grading scales and has a positive correlation with complications but is limited in its inability to preoperatively predict high-grade cholecystitis. We sought to identify preoperative variables predictive of high-grade cholecystitis(PGS 4 or 5). METHODS: In a six-month period, patients undergoing cholecystectomy at a single institution with prospectively graded PGS were analyzed...
March 25, 2024: Journal of Trauma and Acute Care Surgery
#8
JOURNAL ARTICLE
Mohammad Kermansaravi, Scott Shikora, Bruno Dillemans, Marina Kurian, Teresa LaMasters, Ramon Vilallonga, Gerhard Prager, Sonja Chiappetta
OBJECTIVE: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate the management of biliary disease in patients with severe obesity undergoing MBS. BACKGROUND: Obesity and rapid weight loss after MBS are risk factors for the development of gallstones. Complications, such as cholecystitis, acute cholangitis, and biliary pancreatitis, are potentially life-threatening, and no guidelines for the proper management of gallstone disease exist...
February 24, 2024: Obesity Surgery
#9
REVIEW
Thomas Müller, Barbara Braden
Ultrasound guidance in biliary interventions has become the standard tool to facilitate percutaneous biliary drainage as well as percutaneous gall bladder drainage. Monitoring of the needle tip whilst penetrating the tissue in real time using ultrasound allows precise manoeuvres and exact targeting without radiation exposure. Without the need for fluoroscopy, ultrasound-guided drainage procedures can be performed bedside as a sometimes life-saving procedure in patients with severe cholangitis/cholecystitis when they are critically ill in intensive care units and cannot be transported to a fluoroscopy suite...
February 12, 2024: Diagnostics
#10
JOURNAL ARTICLE
Alfonso Terrone, Marcello Di Martino, Sara Saeidi, Chiara Ranucci, Salomone Di Saverio, Antonio Giuliani
Percutaneous cholecystostomy (PC) is often preferred over early cholecystectomy (EC) for elderly patients presenting with acute cholecystitis (AC). However, there is a lack of solid data on this issue. Following the PRISMA guidelines, we searched the Medline and Web of Science databases for reports published before December 2022. Studies that assessed elderly patients (aged 65 years and older) with AC treated using PC, in comparison with those treated with EC, were included. Outcomes analyzed were perioperative outcomes and readmissions...
April 2024: Updates in Surgery
#11
REVIEW
Bakhtawar Awan, Mohamed Elsaigh, Mohamed Marzouk, Azka Sohail, Beshoy Effat Elkomos, Ahmad Asqalan, Safa O Baqar, Noha Elgndy, Omnia Saleh, Justyna Szul, Anna San Juan, Mohamed Alasmar
We aim to investigate the potential of laparoscopic ultrasonography (LUS) as a replacement for intraoperative cholangiography (IOC) in the context of laparoscopic cholecystectomy focusing on various aspects related to both techniques. We made our search through PubMed, Web of Science, Cochrane Library, and Scopus, with the use of the following search strategy: ("laparoscopic ultrasonography" OR LUS OR "laparoscopic US" OR "laparoscopic ultrasound") AND ("laparoscopic cholecystectomy" OR LC). We incorporated diverse studies that addressed our topic, offering data on the identification of biliary anatomy and variations, the utilization of laparoscopic ultrasound in cholecystitis, the detection of common bile duct stones, and the criteria utilized to assess the accuracy of LUS...
December 2023: Curēus
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JOURNAL ARTICLE
Federico Coccolini, Eugenio Cucinotta, Andrea Mingoli, Mauro Zago, Gaia Altieri, Alan Biloslavo, Roberto Caronna, Ismail Cengeli, Enrico Cicuttin, Roberto Cirocchi, Luigi Cobuccio, Gianluca Costa, Valerio Cozza, Camilla Cremonini, Giovanni Del Vecchio, Giuseppe Dinatale, Valeria Fico, Christian Galatioto, Hayato Kuriara, Domenico Lacavalla, Antonio La Greca, Alberto Larghi, Diego Mariani, Paolo Mirco, Savino Occhionorelli, Dario Parini, Francesco Polistina, Mihai Rimbas, Paolo Sapienza, Dario Tartaglia, Giuseppe Tropeano, Piero Venezia, Dario Francesco Venezia, Claudia Zaghi, Massimo Chiarugi
Dealing with acute cholecystitis in high-risk, critically ill, and unfit-for-surgery patients is frequent during daily practice and requires complex management. Several procedures exist to postpone and/or prevent surgical intervention in those patients who temporarily or definitively cannot undergo surgery. After a systematic review of the literature, an expert panel from the Italian Society of Emergency Surgery and Trauma (SICUT) discussed the different issues and statements in subsequent rounds. The final version of the statements was discussed during the annual meeting in Rome (September 2022)...
December 28, 2023: Updates in Surgery
#13
JOURNAL ARTICLE
Takanori Morikawa, Masanori Akada, Kenji Shimizu, Yasunori Nishida, Junko Izai, Hiroki Kajioka, Takayuki Miura, Masaharu Ishida, Michiaki Unno
PURPOSE: This study aimed to clarify the incidence, therapeutic modality, and prognosis of acute acalculous cholecystitis and to reveal its optimal treatment strategy. METHODS: As a project study of the Japanese Society for Abdominal Emergency Medicine, we performed a questionnaire survey of demographic data and perioperative outcomes of acute acalculous cholecystitis treated between January 2018 and December 2020 from 42 institutions. RESULTS: In this study, 432 patients of acute acalculous cholecystitis, which accounts for 7...
December 28, 2023: Journal of Hepato-biliary-pancreatic Sciences
#14
JOURNAL ARTICLE
Kohei Mishima, Yoshiki Fujiyama, Taiga Wakabayashi, Atsuko Tsutsui, Nobuhiko Okamoto, Jacques Marescaux, Yuko Kitagawa, Go Wakabayashi
BACKGROUND: Early laparoscopic cholecystectomy (ELC) is the standard treatment for acute cholecystitis (AC). However, predicting the difficulty of this procedure remains challenging. The present study aimed to develop an improved prediction model for surgical difficulty during ELC, surpassing the current Tokyo Guidelines 2018 (TG18) grading system. METHODS: We analyzed data from 201 consecutive patients who underwent ELC for AC between 2019 and 2021. Surgical difficulty was defined as the failure to achieve the critical view of safety (non-CVS)...
December 12, 2023: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
#15
JOURNAL ARTICLE
Hiroyuki Suzuki, Ian Kidder, Tomohiro Tanaka, Michihiko Goto
IMPORTANCE: Colorectal cancer (CRC) can compromise the mucosal barrier and subsequently allow a route for bacterial invasion into the portal system or systemic circulation. Despite preliminary data suggesting that patients who experienced pyogenic liver abscess (PLA) have higher CRC incidence rates, data from outside the Southeast Asian population are sparse. OBJECTIVE: To investigate whether there is an association between PLA and the subsequent incidence of diagnosed CRC using the Veterans Health Administration (VHA) cohort...
December 1, 2023: JAMA Network Open
#16
JOURNAL ARTICLE
Gerardo Chávez-Saavedra, Elia Lara-Lona, Daniel Díaz-Martínez, Laura Villaseñor-López-Velarde, Angélica Espinosa-Hinojosa, Manuel Rivera-Sahagún
OBJECTIVE: To present the treatment of choice and approach in pregnant and postpartum women with a diagnosis of gallstones in Mexico and to compare it with the recommendations of international guidelines. METHOD: Observational, descriptive, and retrospective study based on information from the 2019 Dynamic Cubes database of pregnant women diagnosed with cholecystitis and/or cholelithiasis who had undergone cholecystectomy. RESULTS: During 2019, 937 patients with cholelithiasis and cholecystitis were registered, 516 (55%) pregnant and 421 (45%) in puerperium...
2023: Cirugia y Cirujanos
#17
JOURNAL ARTICLE
Lalita Maria Andersen, Ian Y Goh, Mehan Siriwardhane
High-grade dysplasia (HGD) in the cystic duct is a rare epithelial lesion that may lead to biliary tract malignancy. Due to its association with aggressive multifocal cholangiocarcinoma, it is important to investigate for concurrent malignancy, remove all areas of HGD and monitor for recurrence or metastasis.We present a case of a woman in her 60s with cholecystitis who underwent a laparoscopic cholecystectomy. On histopathology, the patient was found to have incidental HGD involving the cystic duct margin...
December 11, 2023: BMJ Case Reports
#18
JOURNAL ARTICLE
Giacomo Sermonesi, Brian W C A Tian, Carlo Vallicelli, Fikri M Abu-Zidan, Dimitris Damaskos, Michael Denis Kelly, Ari Leppäniemi, Joseph M Galante, Edward Tan, Andrew W Kirkpatrick, Vladimir Khokha, Oreste Marco Romeo, Mircea Chirica, Manos Pikoulis, Andrey Litvin, Vishal Girishchandra Shelat, Boris Sakakushev, Imtiaz Wani, Ibrahima Sall, Paola Fugazzola, Enrico Cicuttin, Adriana Toro, Francesco Amico, Francesca Dal Mas, Belinda De Simone, Michael Sugrue, Luigi Bonavina, Giampiero Campanelli, Paolo Carcoforo, Lorenzo Cobianchi, Federico Coccolini, Massimo Chiarugi, Isidoro Di Carlo, Salomone Di Saverio, Mauro Podda, Michele Pisano, Massimo Sartelli, Mario Testini, Andreas Fette, Sandro Rizoli, Edoardo Picetti, Dieter Weber, Rifat Latifi, Yoram Kluger, Zsolt Janos Balogh, Walter Biffl, Hans Jeekel, Ian Civil, Andreas Hecker, Luca Ansaloni, Francesca Bravi, Vanni Agnoletti, Solomon Gurmu Beka, Ernest Eugene Moore, Fausto Catena
BACKGROUND: Laparoscopy is widely adopted across nearly all surgical subspecialties in the elective setting. Initially finding indication in minor abdominal emergencies, it has gradually become the standard approach in the majority of elective general surgery procedures. Despite many technological advances and increasing acceptance, the laparoscopic approach remains underutilized in emergency general surgery and in abdominal trauma. Emergency laparotomy continues to carry a high morbidity and mortality...
December 8, 2023: World Journal of Emergency Surgery: WJES
#19
REVIEW
Sih-Shiang Huang, Kai-Wei Lin, Kao-Lang Liu, Yao-Ming Wu, Wan-Ching Lien, Hsiu-Po Wang
BACKGROUND: An updated overview of ultrasound (US) for diagnosis of acute cholecystitis (AC) remains lacking. This systematic review was conducted to evaluate the diagnostic performance of US for AC. METHODS: A systematic review was conducted following PRISMA guidelines. We meticulously screened articles from MEDLINE, Embase, and the Cochrane Library, spanning from inception to August 2023. We employed the search strategy combining the keywords "bedside US", "emergency US" or "point-of-care US" with "AC"...
November 30, 2023: World Journal of Emergency Surgery: WJES
#20
JOURNAL ARTICLE
Nicholas V Peters, Rick O'Connor, Bishwajit Bhattacharya, John W Kunstman
BACKGROUND: The COVID-19 pandemic necessitated adjustments to nearly all aspects of healthcare, including surgical care. The effects of these adjustments have not been well studied on acute surgical problems conventionally managed non-electively in large, tertiary care centers. METHODS: A retrospective analysis of admitted patients with acute cholecystitis at a US academic tertiary care center was performed. We compared the presentation, management, and 30-day outcomes of patients admitted during a 2-month time period during early COVID, to a pre-COVID control group of admitted cholecystitis patients over a 2-month span...
November 2023: Heliyon
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