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subtotal cholecystectomy

Jiro Kimura, Naokazu Takata, Alan Kawarai Lefor, Masaki Kanzaki, Ken Mizokami
INTRODUCTION: Mirizzi syndrome is a rare complication of gallstone disease. The purpose of this report is to describe the utility of laparoscopic subtotal cholecystectomy for Mirizzi syndrome. PRESENTATION OF CASE: A 53-year-old female presented with dark urine and right upper quadrant pain. Blood tests revealed elevated liver and biliary enzyme levels. Magnetic resonance cholangiopancreatography showed a narrowed common hepatic duct compressed by a large gallstone, consistent with Mirizzi syndrome...
January 19, 2019: International Journal of Surgery Case Reports
Toshikatsu Nitta, Yoshihide Chino, Jun Kataoka, Masahito Ohta, Tomo Tominaga, Kensuke Fujii, Takashi Ishibashi
INTRODUCTION: A 50-year-old Japanese man presented with obstructive jaundice. We performed endoscopic retrograde biliary drainage before biliary decompression. CT showed a thickened gallbladder wall with low-density areas and a 35-mm gallstone; the stone was impacted in the gallbladder neck and cystic duct. The patient was therefore diagnosed with Mirizzi syndrome (type II or III) and scheduled for laparoscopic treatment. We performed subtotal cholecystectomy and intraoperative choledochoscopy because we recognized a fistula between the gallbladder and common bile duct preoperatively...
December 13, 2018: Asian Journal of Endoscopic Surgery
David W da Costa, Nicolien J Schepers, Stefan A Bouwense, Robbert A Hollemans, Hjalmar C van Santvoort, Thomas L Bollen, Esther C Consten, Harry van Goor, Sijbrand Hofker, Hein G Gooszen, Djamila Boerma, Marc G Besselink
BACKGROUND: Cholecystectomy after gallstone pancreatitis may be technically demanding. The aim of this study was to investigate risk factors for a difficult cholecystectomy after mild pancreatitis. METHODS: This was a prospective study within a randomized controlled trial on the timing of cholecystectomy after mild gallstone pancreatitis. Difficulty of cholecystectomy was scored on a 0 to 10 visual analogue scale (VAS) by the senior attending surgeon. The primary outcome 'difficult cholecystectomy' was defined by presence of one or more of the following features: a VAS score ≥ 8, duration of surgery > 75 minutes, conversion or subtotal cholecystectomy...
December 8, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Yuki Fujii, Yutaka Noda, Shinsuke Koshita, Yoshihide Kanno, Takahisa Ogawa, Hiroaki Kusunose, Kaori Masu, Toshitaka Sakai, Keisuke Yonamine, Yujiro Kawakami, Toji Murabayashi, Fumisato Kozakai, Takashi Sawai, Toru Furukawa, Kei Ito
A 59-year-old man with anorexia who had a history of cholecystectomy was referred to our hospital. Imaging examinations revealed a contrast-enhanced tumor in the residual cystic duct and a part of the common bile duct. Endoscopic retrograde cholangiopancreatography and peroral-cholangioscopy showed a papillary tumor with movement and a change in the shape. Under a diagnosis of primary cystic duct cancer, subtotal stomach-preserving pancreaticoduodenectomy was performed. The microscopic examination of a resected specimen revealed intracholecystic papillary-tubular neoplasm located in the residual cystic duct, forming a polypoid protrusion to the common bile duct and extensive intraepithelial progress in the common bile duct...
November 30, 2018: Clinical Journal of Gastroenterology
John F Tierney, Javeria Qureshi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
Sayantan Bhattacharya
Emergency laparoscopic cholecystectomy (LC) is associated with a higher morbidity and mortality, as compared to elective LC. A two-fold increase in 30-day re-admission after LC was associated with two or more pre-operative admissions with symptoms of cholecystitis, as opposed to index-admission-LC (IALC). This was presumably because of more inflammation due to repeated attacks of cholecystitis in the former cohort, making gallbladders more "difficult". Inflamed gallbladders with higher Nassar-scores (scores 3 and 4) also have significantly raised complication rates...
November 19, 2018: Revista Española de Enfermedades Digestivas
John F Tierney, Javeria Qureshi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
Jujju Jacob Kurian, Tarun John K Jacob
A 5-year-old boy with metachromatic leukodystrophy, debilitated by spastic quadriparesis presented to us with massive ascites and respiratory distress. A subtotal cholecystectomy was performed on him from another centre for a gall bladder mass a year before he came to us. Imaging revealed a polypoidal frond-like mass arising from the gall bladder fossa which was supplied by a hypertrophied branch of the right hepatic artery. A decision was made to offer surgical resection preceded by embolisation of the feeding vessel...
November 1, 2018: BMJ Case Reports
John F Tierney, Javeria Qureshi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
M T Mita, G Dalmonte, A Gnocchi, F Marchesi
The incidence of biliary lithiasis after gastric surgery seems to be higher than in the general population. Endoscopic retrograde cholangiopancreatography (ERCP) allows several biliary and pancreatic pathologies to be dealt with; however, in patients with an altered anatomy of the upper and mid gastrointestinal tract, this endoscopic manoeuvre can be extremely challenging. We report a case of a 79-year-old woman with previous subtotal gastrectomy and Roux-en-Y reconstruction, admitted with a diagnosis of cholecystitis and choledocolithiasis...
October 24, 2018: Annals of the Royal College of Surgeons of England
Atsushi Kohga, Kenji Suzuki, Takuya Okumura, Kimihiro Yamashita, Jun Isogaki, Akihiro Kawabe, Taizo Kimura
BACKGROUND: There have been only a few reports that describe the long-term outcomes of Subtotal cholecystectomy (SC). METHODS: A total of 59 patients underwent "reconstituting" SC at our hospital between January 2005 and July 2017. In the 59 patients, risk factors for long-term complications were analyzed. In addition, in the patients with acute cholecystitis (AC), perioperative and long-term clinical factors were compared for patients who underwent SC (n = 48) and those who underwent total cholecystectomy (n = 378)...
October 20, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
John F Tierney, Javeria Qureshi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
John F Tierney, Javeria Qureshi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
Shohei Yoshiya, Ryosuke Minagawa, Keisuke Kamo, Meidai Kasai, Kenji Taketani, Takafumi Yukaya, Yasue Kimura, Tadashi Koga, Masanori Kai, Kiyoshi Kajiyama, Tomoharu Yoshizumi
BACKGROUND: Patients with persistent symptoms of acute cholecystitis for >72 h who cannot undergo urgent laparoscopic cholecystectomy (LC) often undergo percutaneous transhepatic gallbladder drainage (PTGBD) and delayed LC. However, intraoperative near-infrared fluorescence with indocyanine green (ICG) has recently become available in various surgical settings. Therefore, we evaluated the usability of intraoperative fluorescence imaging with ICG for LC after PTGBD in patients with acute cholecystitis...
August 13, 2018: World Journal of Surgery
Mingjie Zhang, Jianxin Zhang, Xu Sun, Jie Xu, Jing Zhu, Wenbin Yuan, Qiang Yan
BACKGROUND: Previous gastrectomy can lead to an increased incidence of cholecystocholedocholithiasis (CCL) and increased morbidity rate. However, the appropriate treatment strategy for patients with CCL and a history of gastrectomy remains unclear. METHODS: We performed a retrospective cohort study of patients with CCL and a history of gastrectomy who underwent either one-stage laparoscopic common bile duct (CBD) exploration with stone clearance and laparoscopic cholecystectomy (LCBDE+LC) or two-stage endoscopic retrograde cholangiopancreatography followed by LC (ERCP+LC) from May 2010 to March 2018...
August 9, 2018: BMC Surgery
John F Tierney, Javeria Qureshi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
John F Tierney, Javeria Qureshi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
Lalin Navaratne, Jasim Al-Musawi, Asuncion Acosta Mérida, Jaime Vilaça, Alberto Martinez Isla
PURPOSE: During laparoscopic common bile duct exploration (LCBDE) where Calot's triangle cannot be safely dissected due to a 'frozen' hepatic hilum secondary to severe inflammation or fibrosis, the preferred transcystic approach to the common bile duct (CBD) is precluded. The aim of this paper is to describe a safe method of accessing the CBD via a trans-infundibular approach (TIA) in complex cases where conventional access to the cystic duct or CBD is denied. METHODS: A retrospective review of 154 consecutive patients who underwent LCBDE at a single centre between 2014 and 2018 was performed...
September 2018: Langenbeck's Archives of Surgery
Yoichi Matsui, Satoshi Hirooka, Masaya Kotsuka, So Yamaki, Tomohisa Yamamoto, Hisashi Kosaka, Sohei Satoi
BACKGROUND: Bile leakage after subtotal cholecystectomy (SC) is clinically serious. To prevent such leakage, we developed a new surgical technique in which a free piece of omentum is plugged into the gallbladder stump (omentum plugging technique). We evaluated whether the omentum plugging technique prevents bile leakage after subtotal cholecystectomy. METHODS: Prospectively collected data of patients who had undergone subtotal cholecystectomy without cystic duct closure in the Department of Surgery of Kansai Medical University during the 12 years from January 2006 to March 2018 were reviewed retrospectively...
September 2018: Surgery
Seth J Concors, Matthew L Kirkland, Alan L Schuricht, Daniel T Dempsey, Jon B Morris, Charles M Vollmer, Jeffery A Drebin, Major K Lee
BACKGROUND: Subtotal cholecystectomy (SC) involves removal of a portion of the gallbladder typically due to hazardous inflammation. While this technique reliably prevents common bile duct (CBD) injury, future procedures can be required if the gallbladder remnant becomes symptomatic. The morbidity associated with resection of gallbladder remnants in patients that previously underwent SC is reviewed. METHODS: Records for patients having undergone redo cholecystectomy for symptomatic gallbladder remnants in a tertiary care system from 2013 to 2017 were retrospectively reviewed...
November 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
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