keyword
https://read.qxmd.com/read/37966455/evaluating-clinical-outcomes-of-laparoscopic-subtotal-and-total-cholecystectomy-for-complicated-acute-cholecystitis-a-systematic-review-and-meta-analysis
#21
REVIEW
Brian Martinez, Tessa Breeding, Joshua Katz, Anthony Kostov, Radleigh G Santos, Joseph Ibrahim, Adel Elkbuli
INTRODUCTION: This systematic review and meta-analysis aimed to compare clinical outcomes in patients with complicated acute cholecystitis undergoing laparoscopic total vs subtotal cholecystectomy. METHODS: This systematic review and meta-analysis was conducted according to PRISMA guidelines and queried PubMed, Embase, ProQuest, Google Scholar, and Cochrane databases from inception to May 2023. The primary outcome was complication rates including common bile duct injury, wound infection, reoperation, bile leak, retained stones, and subhepatic collection, whereas secondary outcomes were in-hospital mortality and hospital length of stay...
November 15, 2023: American Surgeon
https://read.qxmd.com/read/37893826/timing-of-early-cholecystectomy-for-acute-calculous-cholecystitis-a-multicentric-prospective-observational-study
#22
JOURNAL ARTICLE
Paola Fugazzola, Fikri M Abu-Zidan, Lorenzo Cobianchi, Francesca Dal Mas, Marco Ceresoli, Federico Coccolini, Simone Frassini, Matteo Tomasoni, Fausto Catena, Luca Ansaloni, On Behalf Of The S P Ri M A C C Collaborative Group
The definition of Early Cholecystectomy (EC) is still debatable. This paper aims to find whether the timing of EC affects outcomes. The article reports a multicentric prospective observational study including patients with acute calculous cholecystitis (ACC) who had cholecystectomy within ten days from the onset of symptoms. Kruskall-Wallis test, Fisher's Exact test, and Spearman rank correlation were used for statistical analysis. The patients were divided into three groups depending on the timing of the operation: 0-3 days, 4-7 days, or 8-10 days from the onset of symptoms...
October 17, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/37889032/what-is-the-effect-of-percutaneous-cholesistostomy-in-patients-with-acute-cholecystitis-when-is-the-right-time-for-the-procedure
#23
JOURNAL ARTICLE
Hakan Yirgin, Ümmihan Topal, Yunusemre Tatlıdil, Osman Sibic, Inci Kizildag Yirgin, Mehmet Abdussamet Bozkurt
BACKGROUND: Acute cholecystitis (AC) is one of the most common emergency diseases in surgical practice. Although the gold standard treatment is laparoscopic cholecystectomy, percutaneous cholecystostomy (PC) is performed in some patients due to age, comorbidity, and delays in admission. We aimed to investigate the effect of timing on the clinical process of patients undergoing PC. METHODS: Patients who underwent PC between February 2017 and December 2021 were included in the study...
November 2023: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/37845605/a-case-of-vagococcus-fluvialis-isolated-from-the-bile-of-a-patient-with-calculous-cholecystitis
#24
JOURNAL ARTICLE
Dan Zhang, Xiaosu Wang, Jingdan Yu, Zheng Dai, Qichao Li, Litao Zhang
BACKGROUND: Chronic cholecystitis, characterized by persistent inflammation of the gallbladder, predominantly stems from the prolonged presence of gallstones. Calculous cholecystitis has demonstrated a consistent escalation in its incidence over time.Gallbladder stones have been recognized as a predisposing factor for the development of biliary tract infections.Concomitantly, there have been substantial shifts in the distribution and resistance profiles of pathogenic microorganisms responsible for biliary tract infections...
October 16, 2023: BMC Infectious Diseases
https://read.qxmd.com/read/37829954/d-line-approach-for-safe-laparoscopic-cholecystectomy-initial-experience
#25
JOURNAL ARTICLE
Amr Badawy, Ibrahim Fathi, Tarek Sabra
Introduction The critical view of safety is an important concept for safe laparoscopic cholecystectomy. However, no standard step-by-step approach for achieving the critical view of safety has been established until now. Therefore, this study aims to evaluate a new approach for achieving the critical view of safety using the diagonal line of liver segment IV as an anatomical landmark. Patients and methods In this prospective non-randomized study, patients (n= 112) who underwent laparoscopic cholecystectomy for symptomatic cholelithiasis were included...
September 2023: Curēus
https://read.qxmd.com/read/37809889/continuous-suture-closure-using-a-lapraty%C3%A2-suture-clips-is-an-effective-method-for-reconstruction-of-cystic-duct-stump-after-laparoscopic-subtotal-cholecystectomy
#26
JOURNAL ARTICLE
Mitsugi Shimoda, Yu Kuboyama, Shuji Suzuki
OBJECTIVE: Recently, number of laparoscopic subtotal cholecystectomy (LSC) has been increasing. SUMMARY BACKGROUND DATA: LSC is suitable as a treatment as it can avoid intraoperative bile duct injury and bleeding for difficult laparoscopic cholecystectomy. On the other hand, improper handling of remnant of GB can lead to postoperative bile leakage. METHODS: Here, we report our positive experience utilizing new technique of continuous suture closure and omental covering using Lapra Ty® suture clips on the remnant of GB...
September 2023: Heliyon
https://read.qxmd.com/read/37803518/validation-of-a-surgical-difficulty-grading-system-in-laparoscopic-cholecystectomy-for-acute-cholecystitis
#27
JOURNAL ARTICLE
Koji Asai, Tetsuji Ohyama, Manabu Watanabe, Hodaka Moriyama, Manabu Kujiraoka, Ryutaro Watanabe, Kenta Shigeta, Nanako Kakizaki, Osahiko Hagiwara, Yoshihisa Saida
BACKGROUND: The surgical difficulty of laparoscopic cholecystectomy (LC) for acute cholecystitis varies from case to case, and appropriate intraoperative evaluation would help prevent bile duct injury (BDI). METHODS: We analyzed 178 patients who underwent LC for acute cholecystitis. Expert surgeons and trainees individually evaluated the surgical difficulty. The inter-rater agreement was analyzed using Conger's κ and Gwet's agreement coefficient (AC). Furthermore, we analyzed the predictive surgical difficulty item for performing subtotal cholecystectomy (STC)...
October 6, 2023: Journal of Hepato-biliary-pancreatic Sciences
https://read.qxmd.com/read/37779801/the-short-and-long-term-safety-and-efficacy-profile-of-subtotal-cholecystectomy-a-single-centre-long-term-follow-up-study
#28
JOURNAL ARTICLE
Ahmed Salman Bodla, Muhammad Umair Rashid, Maleeha Hassan, Saad Rehman, George Kirby
Background Subtotal cholecystectomy (STC) has been reported as an effective method to remove the gallbladder if the hepatocystic triangle anatomy is unfavourable. However, the evidence regarding its long-term outcomes from the United Kingdom (UK) is lacking. This study aimed to assess its short and long-term outcomes with a minimum of one-year follow-up. Methodology We retrospectively analysed all elective and emergency STCs performed in a single UK NHS Trust between 2014 and 2020. Relevant data were collected using electronic patient records and questionnaire-based, long-term, telephonic follow-up (median follow-up of 3...
August 2023: Curēus
https://read.qxmd.com/read/37761505/gallbladder-stones-in-pediatric-age-an-emerging-problem-the-risk-of-difficult-cholecystectomy-and-the-importance-of-a-preoperative-evaluation
#29
JOURNAL ARTICLE
Camilla Todesco, Francesco Molinaro, Francesca Nascimben, Gianluca Gentilucci, Mario Messina, Andrea Cortese, Vito Briganti, Stefano Tursini
The need for cholecystectomy during pediatric age has significantly increased in the last two decades. As biliary pathology increases, the probability of complicated cholecystectomies increases too. The aim of this article is to analyze our experience with difficult laparoscopic pediatric cholecystectomy, focusing on the importance of an accurate pre-operative imaging study. We retrospectively analyzed all patients affected by cholelithiasis who underwent laparoscopic cholecystectomy at the Pediatric Surgery Department of San Camillo Forlanini hospital of Rome and Santa Maria alle Scotte University Hospital of Siena from 2017 to 2022...
September 13, 2023: Children
https://read.qxmd.com/read/37739875/meta-analysis-of-fenestrating-versus-reconstituting-subtotal-cholecystectomy-in-the-management-of-difficult-gallbladder
#30
REVIEW
Shahin Hajibandeh, Shahab Hajibandeh, Alessandro Parente, Richard W Laing, David Bartlett, Tejinderjit S Athwal, Robert P Sutcliffe
AIMS: To evaluate comparative outcomes of fenestrating and reconstituting subtotal cholecystectomy (STC) in patients with difficult gallbladder. METHODS: A systematic search of electronic data sources and bibliographic reference lists were conducted. All comparative studies reporting outcomes of laparoscopic fenestrating and reconstituting STC were included and their risk of bias were assessed using ROBINS-I tool. RESULTS: Seven comparative studies were included enrolling 590 patients undergoing laparoscopic STC using either fenestrating (n = 353) or reconstituting (n = 237) approaches...
September 7, 2023: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://read.qxmd.com/read/37586993/are-outcomes-for-emergency-index-admission-laparoscopic-cholecystectomy-performed-by-hepatopancreatobiliary-surgeons-better-compared-to-non-hepatopancreatobiliary-surgeons-a-10-year-audit-using-1-1-propensity-score-matching
#31
JOURNAL ARTICLE
Kai Siang Chan, Samantha Baey, Vishal G Shelat, Sameer P Junnarkar
BACKGROUND: Emergency index-admission cholecystectomy (EIC) is recommended for acute cholecystitis in most cases. General surgeons have less exposure in managing "difficult" cholecystectomies. This study aimed to compare the outcomes of EIC between hepatopancreatobiliary (HPB) versus non-HPB surgeons. METHODS: This is a 10-year retrospective audit on patients who underwent EIC from December 2011 to March 2022. Patients who underwent open cholecystectomy, had previous cholecystitis, previous endoscopic retrograde cholangiopancreatography or cholecystostomy were excluded...
August 3, 2023: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://read.qxmd.com/read/37577276/massive-hemothorax-caused-by-removal-of-percutaneous-transhepatic-abscess-drainage-tube-for-bile-leak-after-subtotal-cholecystectomy-a-case-report
#32
Yuki Hoshi, Satoru Ishii, Tsukasa Takizawa, Hikaru Tamura
A 59-year-old man with a past medical history of gallstones was diagnosed with acute cholecystitis and received antibiotic treatment. He was discharged after ten days of hospitalization and was due to undergo laparoscopic cholecystectomy. Three months later, however, he had to be readmitted due to a recurrence of acute cholecystitis. Subsequently, laparoscopic reconstituting subtotal cholecystectomy was performed because Inflammation of the gallbladder was severe. At the first postoperative outpatient visit, the patient reported obstructive jaundice, and computed tomography (CT) scan revealed fluid collection in the hepatic bed and a missed common bile duct stone...
August 2023: Curēus
https://read.qxmd.com/read/37481968/gallbladder-empyema-an-atypical-manifestation-of-acute-cholecystitis
#33
Luisa Trujillo-Guerrero, Edgar Javier Aguirre-Salamanca, Camilo Ramírez-Giraldo
INTRODUCTION AND IMPORTANCE: Acute cholecystitis is responsible for 44 % of emergency admissions to the emergency services with multiple complications such as empyema a necesitatis (EN). EN has a close relation with cholecystitis when the perforation of the gallbladder (GB) can lead to the formation of a biliary fistula. Patients can be asymptomatic, with late consultations, thus being a diagnostic challenge. Different techniques are described for cholecystitis and secondary abscess, therefore, the choice of the appropriate procedure should be the best one to reduce the high associated morbidity...
August 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37476135/laparoscopic-management-of-cholecystoduodenal-and-cholecystocolic-fistula-a-clinical-case-report
#34
Milton Alberto Muñoz Leija, Marion Carolina Alemán-Jiménez, Heliodoro Plata-Álvarez, Victor Daniel Cárdenas-Salas, Ramiro Valdez-López
Biliary fistula is a rare (less than 8%) cholecystectomy complication, internal fistulae being the most common of them (mainly colonic and duodenal). However, the presence of two fistulas at the same time is extremely rare, with a small number of cases reported in the literature to date. Symptoms tend to be non-specific, leading to a difficult preoperative diagnosis. The standard treatment for bilioenteric fistulas is open cholecystectomy and subsequent closure of the fistula. Nonetheless, modern techniques including laparoscopic and endoscopic approaches have been reported lately for their treatment with favorable results...
June 2023: Curēus
https://read.qxmd.com/read/37409924/does-the-subtotal-cholecystectomy-rate-for-acute-cholecystitis-change-with-previous-endoscopic-retrograde-cholangiopancreatography
#35
JOURNAL ARTICLE
Yasir Musa Kesgin, Alpen Yahya Gümüşoğlu, Hamit Ahmet Kabuli, Mehmet Karabulut, Sezer Bulut, Turgut Dönmez, Ali Kocataş, Gökhan Tolga Adaş
BACKGROUND: Acute cholecystitis is one of the most common emergent surgeries. As a safe alternative in challenging operations, laparoscopic subtotal cholecystectomy (LSC) is widely used. We questioned whether the results in acute cholecystitis cases changed with a history of endoscopic retrograde cholangiopancreatography (ERCP). When we searched the literature, we could not find a study focusing on the subtotal cholestectomy results in acute cholecystitis. In our study, we aimed to investigate whether the history of ERCP affects the rates of subtotal cholecystectomy (SC) in acute cholecystitis...
July 2023: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/37404388/giant-gallstone-with-gallbladder-perforation-and-hepatic-abscess-in-an-asian-patient
#36
Saroj K Yadav, Mohim Thakur, Ajay Dhiman, Ajeet Kumar, Gopal Sharma
Giant gallstone with a secondary hepatic abscess is a very rare phenomenon. We recently treated a patient with a giant gallbladder (GB) stone of size 11.5 cm with a hepatic abscess who presented with features of an acute abdomen. This was subsequently managed with an open subtotal cholecystectomy and concomitant hepatic abscess drainage. To the best of our knowledge and after a thorough literature search, this is one of the largest reported gall bladder (GB) stones with wall perforation and hepatic abscess in the Asian subcontinent...
June 2023: Curēus
https://read.qxmd.com/read/37398758/use-of-percutaneous-cholecystostomy-for-the-management-of-complicated-cholecystitis-causing-gastric-outlet-obstruction-in-an-elderly-patient
#37
Hannah Jones, Dylan Murray, Richard Murray, Mohamed Elfedaly
The management of complicated cholecystitis in an elderly patient can present a complex clinical decision for surgeons. There is literature supporting the use of immediate laparoscopic cholecystectomy for cases of uncomplicated cholecystitis in elderly patients and complicated cholecystitis in the general population. There are, however, no clear guidelines for treating the unique presentation of an elderly patient with complicated cholecystitis. This is likely due to the many clinical risk factors that must be considered when caring for these complex patients often with many medical comorbidities...
May 2023: Curēus
https://read.qxmd.com/read/37395314/surgery-of-the-alimentary-tract-for-benign-and-malignant-disease-with-the-novel-robotic-platform-hugo-tm-ras-a-first-world-report-of-safety-and-feasibility
#38
JOURNAL ARTICLE
Antonio Gangemi, Paolo Bernante, Matteo Rottoli, Federica Pasquali, Gilberto Poggioli
INTRODUCTION: As robotic surgery increases its reach, novel platforms are being released. We present the first 17 consecutive cases of alimentary tract surgery performed with the HugoTM RAS (Medtronic). METHODS: patients were selected to undergo surgery from February through April 2023. Exclusion criteria were age <16 years, BMI>60, ASA IV. RESULTS: 17 patients underwent ileocaecal resection for Chrons disease (2 M and 1 F) and pseudo-obstruction of the terminal ileum (1 M), cholecystectomy (3 M and 5 F), subtotal gastrectomy with D2 lymphadenectomy (1 F), sleeve gastrectomy (1 F), hiatal hernia repair with Nissen fundoplication (1 M), right hemicolectomy (1 M) and sigmoidectomy (1 M)...
July 3, 2023: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://read.qxmd.com/read/37391720/comparison-of-pre-operative-computed-tomography-cholangiography-and-intraoperative-cholangiography-in-laparoscopic-cholecystectomy-a-retrospective-analysis
#39
JOURNAL ARTICLE
Douglas Chung
BACKGROUND: The role of intra-operative cholangiography (IOC) in laparoscopic cholecystectomy (LC) is controversial. CT cholangiography (CTC) provides a reliable assessment of biliary anatomy, potentially reducing operating times, open conversion, and complication rates. This study aims to assess the safety and effectiveness of routine pre-operative CTC. METHODS: A single centre retrospective analysis was undertaken of all elective laparoscopic cholecystectomies between 2017 and 2021...
June 30, 2023: BMC Surgery
https://read.qxmd.com/read/37365939/a-systematic-review-on-laparoscopic-subtotal-cholecystectomy-for-difficult-gallbladders-a-lifesaving-bailout-or-an-incomplete-operation
#40
JOURNAL ARTICLE
M Al-Azzawi, M Abouelazayem, C Parmar, R Singhal, B Amr, A Martinino, S D Atıcı, K Mahawar
INTRODUCTION: Laparoscopic subtotal cholecystectomy (LSTC) is a bailout procedure that is undertaken when it is not safe to proceed with a laparoscopic total cholecystectomy owing to dense adhesions in Calot's triangle. The main aim of this review was to investigate the early (≤30 days) and late (>30 days) morbidity and mortality of LSTC. METHODS: A literature search of the PubMed® (MEDLINE® ), Google Scholar™ and Embase® databases was conducted to identify all studies on LSTC published between 1985 and December 2020...
March 2024: Annals of the Royal College of Surgeons of England
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