keyword
https://read.qxmd.com/read/38517082/subtotal-cholecystectomy-fenestrating-or-reconstituting
#1
JOURNAL ARTICLE
Eric Knauer
No abstract text is available yet for this article.
March 22, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38495040/an-uncommon-case-of-right-hepatic-duct-entering-cystic-duct-associated-to-multiple-complications-of-biliary-tract-disease-acute-pancreatitis-hepatolithiasis-acute-cholecystitis-and-hepatic-abscess
#2
Javier A Meza-Hernandez, Asya Zubillaga-Mares, Minnet Serrano-Sanchez, Francisco E Alvarez-Bautista, Mario Trejo-Avila, Alejandra Nuñez-Venzor
Anatomical variations of the biliary tree pose diagnostic and treatment challenges. While most are harmless and often discovered incidentally during procedures, some can lead to clinical issues and biliary complications, making knowledge of these variants crucial to prevent surgical mishaps. Here, we present an unusual and clinically significant case. A 61-year-old man is admitted to the hospital with epigastric pain and diagnosis of pancreatitis of biliary origin and intermediate risk of choledocholithiasis...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38477475/incidence-of-endoscopic-retrograde-cholangiography-after-subtotal-fenestrating-and-reconstituting-cholecystectomy
#3
JOURNAL ARTICLE
Mina F Nordness, Michael C Smith, Jessa Fogel, Oscar D Guillamondegui, Bradley M Dennis, Oliver L Gunter
BACKGROUND: Laparoscopic subtotal cholecystectomy (SC) is used for the difficult cholecystectomy, but published experience with resource utilization for SC is limited. We hypothesized that the need for advanced resources are common after SC. STUDY DESIGN: Retrospective review of laparoscopic cholecystectomies between 2017 and 2021 at a large center. SC cases were identified using a medical record tool. Baseline characteristics were assessed with student's t-test and chi-squared...
March 13, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38471982/subtotal-cholecystectomy-are-we-describing-thoroughly-our-approaches
#4
EDITORIAL
Luis Adrian Alvarez-Lozada, Ethel Valeria Orta-Guerra, María Fernanda Gutiérrez-Alvarez, Alejandro Quiroga-Garza, Rodrigo E Elizondo-Omaña
No abstract text is available yet for this article.
March 6, 2024: American Journal of Surgery
https://read.qxmd.com/read/38409679/laparoscopic-subtotal-cholecystectomy-in-difficult-gallbladder-our-experience-in-a-tertiary-care-center
#5
JOURNAL ARTICLE
Kulbhushan Haldeniya, Krishna S R, Annagiri Raghavendra, Pawan Kumar Singh
BACKGROUNDS/AIMS: Open cholecystectomy is becoming obsolete and laparoscopic cholecystectomy has become the treatment of choice in gallstone diseases. Difficult gallbladders are encountered whenever there is a frozen calot's triangle, obliterated cystic plate, or both. Rather than converting to open procedure, there has been a growing preference for laparoscopic subtotal cholecystectomy (LSC) during difficult gallbladders. This study aimed to assess the advantages, indications, and viability of LSC in difficult gallbladders...
February 27, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
https://read.qxmd.com/read/38389074/a-case-report-of-carcinoma-of-the-papilla-of-vater-associated-with-a-hyperplasia-dysplasia-carcinoma-sequence-by-pancreaticobiliary-maljunction
#6
JOURNAL ARTICLE
Takahiro Korai, Yasutoshi Kimura, Kazunori Watanabe, Siew-Kee Low, Masafumi Imamura, Minoru Nagayama, Kazuharu Kukita, Takeshi Murakami, Toru Kato, Yuta Kondo, Daisuke Kyuno, Taro Sugawara, Ayako Murota, Yujiro Kawakami, Yoshiharu Masaki, Hiroshi Nakase, Ichiro Takemasa
BACKGROUND: Pancreaticobiliary maljunction (PBM) is a known risk factor for biliary tract cancer. However, its association with carcinoma of the papilla of Vater (PVca) remains unknown. We report a case with PVca that was thought to be caused by the hyperplasia-dysplasia-carcinoma sequence, which is considered a mechanism underlying PBM-induced biliary tract cancer. CASE PRESENTATION: A 70-year-old woman presented with white stool and had a history of cholecystectomy for the diagnosis of a non-dilated biliary tract with PBM...
February 22, 2024: World Journal of Surgical Oncology
https://read.qxmd.com/read/38326217/laparoscopic-subtotal-cholecystectomy-for-the-difficult-gallbladder-evolution-of-technique-at-a-single-teaching-hospital
#7
JOURNAL ARTICLE
Shirley X Deng, Bree T Sharma, Tega Ebeye, Anas Samman, Amna Zulfiqar, Brittany Greene, Melanie E Tsang, Shiva Jayaraman
BACKGROUND: We have developed an algorithmic approach to laparoscopic cholecystectomy, including subtotal cholecystectomy, as a bailout strategy when the Critical View of Safety cannot be safely achieved due to significant inflammation and fibrosis of the hepatocystic triangle. METHODS: This is a retrospective cohort study comparing postoperative outcomes in patients with severe cholecystitis who underwent laparoscopic cholecystectomy or laparoscopic subtotal cholecystectomy at St...
February 6, 2024: Surgery
https://read.qxmd.com/read/38326157/mirizzi-syndrome-problems-and-strategies
#8
REVIEW
Jun Wu, Shuang-Yong Cai, Xu-Liang Chen, Zhi-Tao Chen, Shao-Hua Shi
Mirizzi syndrome is a serious complication of gallstone disease. It is caused by the impacted stones in the gallbladder neck or cystic duct. One of the features of Mirizzi syndrome is severe inflammation or dense fibrosis at the Calot's triangle. In our clinical practice, bile duct, branches of right hepatic artery and right portal vein clinging to gallbladder infundibulum are often observed due to gallbladder infundibulum adhered to right hepatic hilum. The intraoperative damage of branches of right hepatic artery occurs more easily than that of bile duct, all of which are hidden pitfalls for surgeons...
January 30, 2024: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://read.qxmd.com/read/38325113/mirizzi-syndrome-a-case-report-emphasizing-safe-management-strategies-and-literature-review
#9
Med Dheker Touati, Anis Belhadj, Mohamed Raouf Ben Othmane, Fahd Khefacha, Syrine Khabthani, Ahmed Saidani
INTRODUCTION AND IMPORTANCE: Mirizzi syndrome, a rare complication of cholelithiasis, involves gallstones causing common hepatic duct compression. It poses diagnostic challenges with nonspecific symptoms. Early recognition and surgical intervention are crucial, emphasizing a multidisciplinary approach for this complex condition with potential complications. CASE REPORT: A 69-year-old woman presented with pruritus, jaundice, and a history of hepatic colics. Laboratory results showed no signs of inflammation but indicated cholestasis...
January 26, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38281952/acute-cholecystitis-how-to-avoid-subtotal-cholecystectomy-preliminary-results
#10
JOURNAL ARTICLE
Adriana Toro, Martina Rapisarda, Davide Maugeri, Alessandro Terrasi, Luisa Gallo, Luca Ansaloni, Fausto Catena, Isidoro Di Carlo
BACKGROUND: The aim of this manuscript is to illustrate a new method permitting safe cholecystectomy in terms of complications with respect to the common bile duct (CBD). METHODS: The core of this new technique is identification of the continuity of the cystic duct with the infundibulum. The cystic duct can be identified between the inner gallbladder wall and inflamed outer wall. RESULTS: In the last 2 years, from January 2019 until December 2021, 3 patients have been treated with the reported technique without complications...
January 28, 2024: World Journal of Emergency Surgery: WJES
https://read.qxmd.com/read/38276046/mirizzi-syndrome-the-past-present-and-future
#11
REVIEW
Jonathan G A Koo, Hui Yu Tham, En Qi Toh, Christopher Chia, Amy Thien, Vishal G Shelat
Mirizzi syndrome is a complication of gallstone disease caused by an impacted gallstone in the infundibulum of the gallbladder or within the cystic duct, causing chronic inflammation and extrinsic compression of the common hepatic duct or common bile duct. Eventually, mucosal ulceration occurs and progresses to cholecystobiliary fistulation. Numerous systems exist to classify Mirizzi syndrome, with the Csendes classification widely adopted. It describes five types of Mirizzi syndrome according to the presence of a cholecystobiliary fistula and its corresponding severity, and whether a cholecystoenteric fistula is present...
December 21, 2023: Medicina
https://read.qxmd.com/read/38259239/bailout-surgery-for-difficult-gallbladders-surgical-approach-and-outcomes
#12
JOURNAL ARTICLE
Jennifer Ledezma Dominguez, Noor Tariq, Russell Seth Martins, Ghassan Jawad, Andrew D Fisher, Baila Maqbool
INTRODUCTION: Inflammation in acute cholecystitis may cause a cholecystectomy to be more challenging. Due to the difficult dissection, conversion to subtotal cholecystectomy via laparoscopic or open procedure may be required. This is done to reduce the risk of bile duct injury and hemorrhage. We sought to describe the incidence and risk factors, safety, morbidity, and outcomes associated with bailout procedures. METHODS: A single academic center, retrospective review of laparoscopic cholecystectomies that resulted in bailout procedures performed between January 2015 and December 2020...
January 23, 2024: American Surgeon
https://read.qxmd.com/read/38233627/outcomes-of-laparoscopic-subtotal-cholecystectomy-a-comparative-analysis-of-fenestrating-and-reconstituting-approaches-in-170-cases
#13
JOURNAL ARTICLE
Christophe Thomas, Dorothy Wintrip, Liam Horgan, James Brown
BACKGROUND: Laparoscopic subtotal cholecystectomy (LSC) is a recognised alternative to laparoscopic cholecystectomy (LC) when it is unsafe to achieve the "critical view of safety". Although LSC reduces the risk of bile duct injury, it is associated with increased morbidity, primarily due to bile leak. LSC can be classified as fenestrating (F-LSC) or reconstituting (R-LSC), with the latter being more complex. The objective of this study was to evaluate the two LSC techniques, their complications, and overall outcomes...
January 17, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38189678/robotic-care-outcomes-project-robocop-for-acute-gallbladder-pathology
#14
JOURNAL ARTICLE
Shannon Greenberg, Marc Abou Assali, Yanli Li, Hannah Bossie, Chris Neighorn, Esther Wu, Kaushik Mukherjee
BACKGROUND: Robotic cholecystectomy is being increasingly used for patients with acute gallbladder disease who present to emergency department, but clinical evidence is limited. We aimed to compare the outcomes of emergent laparoscopic and robotic cholecystectomies in a large real-world database. METHODS: Patients who received emergent laparoscopic or robotic cholecystectomies from 2020 to 2022 were identified from the Intuitive Custom Hospital Analytics database, based on de-identified extraction of electronic health record data from US hospitals...
January 9, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38168604/subtotal-vs-total-cholecystectomy-for-difficult-gallbladders-a-systematic-review-and-meta-analysis
#15
JOURNAL ARTICLE
Sylvia Sj Koo, Rohin J Krishnan, Kyle Ishikawa, Masako Matsunaga, Hyeong Jun Ahn, Kenric M Murayama, Riley K Kitamura
INTRODUCTION: With severely inflamed gallbladders, laparoscopic cholecystectomy can be difficult and may require procedures like subtotal cholecystectomy (SC). Few studies exist comparing SC and total cholecystectomy (TC) in the setting of severe biliary inflammation. This meta-analysis aims to compare SC and TC for difficult gallbladders. METHODS: Medline-OVID, Embase-OVID, and Cinahl were searched including only studies comparing SC to TC for difficult gallbladders...
March 2024: American Journal of Surgery
https://read.qxmd.com/read/38161804/incidentally-found-cholecystoduodenal-fistula-and-an-unusual-case-of-gallstone-ileus-after-laparoscopic-cholecystectomy
#16
Saud Alsairy, Abdullah M Alessa, Bader Nasser Alaiyar, Osama Alharbi, Abdulaziz Alomar, Sakhar Albalawi, Bader Almalki, Ahmed AlRikhaimi
Gallstone ileus, a rare and potentially fatal complication of cholelithiasis, occurs when gallstones breach the gastrointestinal tract through a fistula, causing an obstruction and potentially leading to severe complications. This case report details the experience of a 44-year-old woman with gallstone ileus stemming from an unnoticed cholecystoduodenal fistula following a routine cholecystectomy. The fistula was only discovered during surgery despite advanced imaging, revealing extensive adhesions. The discovery led to a subtotal cholecystectomy and fistula repair...
November 2023: Curēus
https://read.qxmd.com/read/38053273/perioperative-strategies-for-patients-undergoing-subtotal-cholecystectomy-a-single-center-retrospective-review-of-102-procedures
#17
JOURNAL ARTICLE
Magnus Hølmo Fasting, Erlend Strønen, Tom Glomsaker, Torgeir Thorson Søvik, Thomas Johan Fyhn, Tom Mala
BACKGROUND: Calculous gall bladder disease is often handled by laparoscopic cholecystectomy. In cases where a safe dissection of the hepatocystic triangle cannot be carried out, a subtotal cholecystectomy (STC) may be performed. The perioperative management of patients undergoing STC is characterized by limited evidence. This large single-center series explores some of the perioperative aspects and outcomes after STC. MATERIALS AND METHODS: The study population includes all patients who underwent STC at Oslo University Hospital (Ullevål and Aker Hospitals) from 01...
December 5, 2023: Scandinavian Journal of Gastroenterology
https://read.qxmd.com/read/38037953/paradigm-shift-towards-emergency-cholecystectomy-one-site-experience-of-the-chole-quic-process
#18
JOURNAL ARTICLE
M Hamid, J Bird, J Yeo, A Shrestha, M Carter, K Kudhail, A Akingboye, C Sellahewa
INTRODUCTION: Substantial evidence exists for the superiority of emergency over delayed cholecystectomy for gallstone disease during primary admission. Despite this, emergency surgery rates in the UK remain low compared with other developed countries, with great variation in care across the nation. We aimed to describe the local paradigm shift towards emergency surgery and investigate outcomes. METHODS: This is a prospective observational study examining patients enrolled onto an emergency cholecystectomy pathway, following the hospital's subscription to the Royal College of Surgeons of England's Cholecystectomy Quality Improvement Collaborative (Chole-QuIC), between 1 December 2021 and 31 January 2023...
December 1, 2023: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38034240/a-case-of-asymptomatic-perforated-gangrenous-cholecystitis-in-a-diabetic-patient-a-critical-condition
#19
Elias E Lahham, Abdalrazeq A Ghweir, Qusai A Alsalah, Mohammad I Alsahouri, Mohammad AlQadi
Gangrenous cholecystitis (GC) is a severe form of acute cholecystitis (AC) with ischemia and necrosis of the gallbladder (GB) wall. Patients with GC are sicker than the usual AC patients, and their surgical treatment is more complex and linked with a higher risk of morbidity and mortality. Typically, the first imaging modality used to assess patients with clinically suspected AC is ultrasound. However, if the ultrasound results were inconclusive, a CT scan might help evaluate these individuals. Our study presents a 62-year-old male who presented with mild right upper quadrant discomfort...
October 2023: Curēus
https://read.qxmd.com/read/38026750/management-of-a-complex-cholecystocutaneous-fistula-with-laparoscopic-retrieval-of-gallstones-embedded-in-the-abdominal-wall
#20
Jada Saunders, Panagiotis Kapsampelis, Tarak Chouari, Lawrence Nip, Ioannis N Gerogiannis
Cholecystocutaneous fistula is a rare surgical entity caused by an abnormal connection between the gallbladder epithelium and the skin. These complex cases have historically required an open surgical approach and are difficult to manage. We present a rare case of a 65-year-old male patient, with chronic lithiasic cholecystitis and cholecystocutaneous fistula. The patient underwent a laparoscopic subtotal cholecystectomy, dissection of the fistula tract, and removal of the impacted stones from the abdominal wall...
November 2023: Journal of Surgical Case Reports
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