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https://read.qxmd.com/read/30887468/laparoscopic-cholecystectomy-do-risk-factors-for-a-prolonged-length-of-stay-exist
#1
Valter Ripetti, Paolo Luffarelli, Simone Santoni, Santi Greco
Gallstones are one of the most common morbidities in the world. Laparoscopic cholecystectomy is the gold standard for gallbladder stones' removal. Few studies focus on the existence of predictive factors aimed at facilitating cholecystectomy in a day surgery setting. The aim of this retrospective study was to identify clinical factors that could guide day-surgery laparoscopic cholecystectomy safety. The study included 985 consecutive patients who underwent elective laparoscopic cholecystectomy for gallstone disease between May 2006 and February 2015...
March 18, 2019: Updates in Surgery
https://read.qxmd.com/read/30886133/a-new-approach-to-accomplish-intraoperative-cholangiography-in-left-lateral-segmentectomy-of-living-liver-donation
#2
Lin Wei, Zhong-Tao Zhang, Zhi-Jun Zhu, Li-Ying Sun, Zhi-Gui Zeng, Wei Qu, Liang Zhang, En-Hui He, Rui-Fang Xu, Guang-Peng Zhou
BACKGROUND There are 2 main methods of bile duct division in harvesting left lateral segment of a living donor: 1) by intraoperative cholangiography through cystic duct with cholecystectomy, or 2) by direct vision with preoperative magnetic resonance cholangiopancreatography. Here, we present a new approach to cholangiography by using the bile duct stump of the fourth liver segment (B4 stump) to achieve left lateral segmentectomy in pediatric living donor liver transplantation. MATERIAL AND METHODS This was a prospective study of 221 living donors who had undergone intraoperative cholangiography via the B4 stump in the course of left lateral segmentectomy...
March 19, 2019: Annals of Transplantation: Quarterly of the Polish Transplantation Society
https://read.qxmd.com/read/30875526/an-unusual-site-of-gallstones-five-years-after-laparoscopic-cholecystectomy
#3
Sean Heywood, Ben Wagstaff, Noel Tait
INTRODUCTION: Gallstone spillage during laparoscopic cholecystectomy is a common occurrence. Complications due to spilled gallstones occur in up to 5% of laparoscopic cholecystectomy cases, with complications having been reported up to 20 years after laparoscopic cholecystectomy. CASE REPORT: We report the case of a 70 year old male who presented for elective right inguinal hernia repair. At the time of repair he was found to have multiple foreign bodies embedded within an indirect hernia sac...
March 5, 2019: International Journal of Surgery Case Reports
https://read.qxmd.com/read/30867674/2017-wses-and-sicg-guidelines-on-acute-calcolous-cholecystitis-in-elderly-population
#4
REVIEW
Michele Pisano, Marco Ceresoli, Stefania Cimbanassi, Kurinchi Gurusamy, Federico Coccolini, Giuseppe Borzellino, Gianluca Costa, Niccolò Allievi, Bruno Amato, Djamila Boerma, Pietro Calcagno, Luca Campanati, Fabio Cesare Campanile, Alberto Casati, Osvaldo Chiara, Antonio Crucitti, Salomone di Saverio, Marco Filauro, Francesco Gabrielli, Angelo Guttadauro, Yoram Kluger, Stefano Magnone, Cecilia Merli, Elia Poiasina, Alessandro Puzziello, Massimo Sartelli, Fausto Catena, Luca Ansaloni
Background: Gallstone disease is very common afflicting 20 million people in the USA. In Europe, the overall incidence of gallstone disease is 18.8% in women and 9.5% in men. The frequency of gallstones related disease increases by age. The elderly population is increasing worldwide. Aim: The present guidelines aims to report the results of the World Society of Emergency Surgery (WSES) and Italian Surgical Society for Elderly (SICG) consensus conference on acute calcolous cholecystitis (ACC) focused on elderly population...
2019: World Journal of Emergency Surgery: WJES
https://read.qxmd.com/read/30862772/dry-beriberi-due-to-thiamine-deficiency-associated-with-peripheral-neuropathy-and-wernicke-s-encephalopathy-mimicking-guillain-barr%C3%A3-syndrome-a-case-report-and-review-of-the-literature
#5
Ahmed A Shible, Deepa Ramadurai, Daniel Gergen, Paul M Reynolds
BACKGROUND Beriberi due to thiamine (vitamin B1) deficiency has two clinical presentations. Patients with dry beriberi present with neuropathy, and patients with wet beriberi present with heart failure, with or without neuropathy. Dry beriberi can mimic the most common form of Guillain-Barre syndrome (GBS), an acute inflammatory demyelinating polyradiculoneuropathy (AIDP). Severe thiamine deficiency results in Wernicke's encephalopathy. This report of a case of dry beriberi and Wernicke's encephalopathy due to thiamine deficiency includes a review of the literature...
March 13, 2019: American Journal of Case Reports
https://read.qxmd.com/read/30848747/-gallbladder-epidermoid-carcinoma
#6
Germán Calderillo-Ruiz, Roberto Herrera-Goepfert, Consuelo Díaz-Romero, Berenice Carbajal-López, Horacio López-Basave
BACKGROUND: Gallbladder epidermoid carcinoma is rare and more common in women over 55 years of age. AIM: To report the features of 15 patients with gallbladder epidermoid carcinoma. MATERIAL AND METHODS: Review of medical records of patients with gallbladder cancer in an oncology service. RESULTS: Of 207 patients with gallbladder cancer, 15patients aged 53-72years, 93% women had an epidermoid component in their cancer...
December 2018: Revista Médica de Chile
https://read.qxmd.com/read/30846036/premalignant-lesions-of-the-biliary-tract
#7
REVIEW
Zaheer S Kanji, Flavio G Rocha
Although the most common presentation of biliary disorder in North America is secondary to gallstone disease, an awareness of benign biliary cystic neoplasms is important because of the risk of malignant transformation. The incidence of premalignant cystic neoplasms of the bile duct is not well characterized and they often are detected incidentally for suspicion of other abdominal disorders. This article describes the 4 most common premalignant biliary cystic neoplasms: biliary mucinous cystic neoplasms, intraductal papillary mucinous neoplasms of the bile duct, intraductal tubular papillary neoplasms of the bile duct, and choledochal cysts...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846034/technical-aspects-of-bile-duct-evaluation-and-exploration-an-update
#8
REVIEW
William Scott Helton, Subhashini Ayloo
Consensus guidelines recommend patients with symptomatic cholelithiasis and suspected choledocholithiasis have common bile duct exploration (CBDE) at the time of cholecystectomy to prevent downstream problems. Despite superiority of single-stage cholecystectomy with CBDE, 2-stage precholecystectomy/postcholecystectomy with endoscopic clearance of the duct is commonly practiced. This is related to inadequate training in minimally invasive techniques, lack of technical support for efficient and safe CBDE, and surgeons' inexperience with complex biliary pathologic condition...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846033/an-update-on-technical-aspects-of-cholecystectomy
#9
REVIEW
Dominic E Sanford
Laparoscopic cholecystectomy has revolutionized the field of surgery, and is currently the gold standard in the treatment for symptomatic cholelithiasis. The goal of every laparoscopic cholecystectomy should be attainment of the critical view of safety before cutting the cystic duct and artery to reduce the risk of bile duct injury. Open cholecystectomy is most commonly performed when laparoscopic cholecystectomy is converted to open or when laparoscopic cholecystectomy is contraindicated. Robotic cholecystectomy is a safe alternative to conventional laparoscopic cholecystectomy, and follows the same basic operative principles...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846032/gallstone-disease-cholecystitis-mirizzi-syndrome-bouveret-syndrome-gallstone-ileus
#10
REVIEW
Farzad Alemi, Natalie Seiser, Subhashini Ayloo
Gallstone disease is a leading cause of morbidity in the United States and usually requires surgical or endoscopic interventions for diagnosis and/or treatment. Although gallstone disease is classically associated with the inflammatory sequela of cholecystitis, gallstones can also contribute to other clinical presentations such as gallstone ileus, Mirizzi syndrome, and Bouveret syndrome. This article explores the common-and uncommon-causes of surgical pathology owing to gallstones with an emphasis on clinical identification, diagnostics, and management options...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846031/bile-metabolism-and-lithogenesis-an-update
#11
REVIEW
Austin R Dosch, David K Imagawa, Zeljka Jutric
Bile is composed of multiple macromolecules, including bile acids, free cholesterol, phospholipids, bilirubin, and inorganic ions that aid in digestion, nutrient absorption, and disposal of the insoluble products of heme catabolism. The synthesis and release of bile acids is tightly controlled and dependent on feedback mechanisms that regulate enterohepatic circulation. Alterations in bile composition, impaired gallbladder relaxation, and accelerated nucleation are the principal mechanisms leading to biliary stone formation...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846030/an-update-on-biliary-dyskinesia
#12
REVIEW
Clancy J Clark
Biliary dyskinesia is a functional disorder of the gallbladder or sphincter of Oddi. While cholecystectomy for symptomatic cholelithiasis is widely accepted, debate remains regarding the clinical benefit of invasive procedures for biliary dyskinesia. This article will review current best evidence in the diagnosis and management of biliary dyskinesia.
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30845927/comparison-of-clinical-characteristics-and-outcomes-of-pyogenic-liver-abscess-patients-65-years-of-age-versus-%C3%A2-65-years-of-age
#13
Jia Zhang, Zhaoqing Du, Jianbin Bi, Zheng Wu, Yi Lv, Xufeng Zhang, Rongqian Wu
BACKGROUND: Pyogenic liver abscess (PLA) in the elderly is insufficiently elucidated. A few studies attempted to investigate the role of age in PLA have yielded controversial results. The purpose of this study was to explore the possible differences in the comorbidity, microbiological characteristics and clinical course between elderly and young PLA patients. METHODS: The clinical data of 332 adult PLA patients who received treatment at our hospital from January 2010 to December 2016 were collected...
March 7, 2019: BMC Infectious Diseases
https://read.qxmd.com/read/30843001/sickle-cell-diseases-what-can-nuclear-medicine-offer
#14
EDITORIAL
Artor Niccoli Asabella, Corinna Altini, Anna G Nappi, Valentina Lavelli, Cristina Ferrari, Andrea Marzullo, Alessandra Loiodice, Giuseppe Rubini
Sickle cell disease (SCD) is the best known haemoglobinopathy, caused by a mutation substituting valina for glutamic acid at position 6 of the beta-globin chain of adult hemoglobin A, resulting in hemoglobin S (HbS). The homozygous HbS disease (HbSS), an autosomal recessive disorder, is the most common form and the Mediterranean area, along with sub-Saharian African and India, have the highest prevalence (1%-15%). In particular, Sicily with a prevalence of 2%-5%, is among the most interested regions. However, migratory flows have led to a wider diffusion of the disease no longer confined to endemic areas...
March 5, 2019: Hellenic Journal of Nuclear Medicine
https://read.qxmd.com/read/30841988/feasibility-of-laparoscopic-assisted-approach-in-management-of-gallstone-ileus
#15
Mehulkumar Joshi, Cecilia Nguyen, Javier Andrade, Jacob Eisdorfer
No abstract text is available yet for this article.
February 1, 2019: American Surgeon
https://read.qxmd.com/read/30836441/left-sided-gallbladder-a-systematic-review-of-a-rare-biliary-anomaly
#16
REVIEW
Ryan Pereira, Talbir Singh, John Avramovic, Sam Baker, Guy D Eslick, Michael R Cox
BACKGROUND: A left-sided gallbladder (LSGB) is a rare anatomical anomaly that is often not discovered until surgery. Two cases of LSGB managed with laparoscopic cholecystectomy (LC) stimulated this systematic review. The aims of this study were in LSGB to define the rate of pre-operative detection, variations in biliary anatomy, laparoscopic techniques employed and outcomes of surgery for symptomatic gallstones. METHODS: A systematic review was performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses principles...
March 5, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30824211/determinants-for-symptomatic-gallstone-disease-readmissions-results-from-a-cohort-with-screen-detected-gallstone-disease
#17
D M Shabanzadeh, L T Sørensen, T Jørgensen
AIM OF THE STUDY: Selection of patients for cholecystectomy is hampered by lack of objective criteria. The objectives of this cohort study were to identify if patient, symptoms, or gallstone disease characteristics determined readmission in an unselected cohort with screen-detected gallstone disease and who had experienced a first admission with symptomatic gallstone disease. METHODS: Data from three random sampled population-based cohorts were used. At baseline, participants were screened with ultrasound and 664 had gallstones of which 84 had a first admission without cholecystectomy performed...
February 26, 2019: Journal of Visceral Surgery
https://read.qxmd.com/read/30823965/gallstone-abscess-due-to-spilled-gallstones-after-laparoscopic-cholecystectomy
#18
Sohail Saqib Chatha, Mahwish Farooq
No abstract text is available yet for this article.
March 2019: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://read.qxmd.com/read/30819315/feasibility-of-laparoscopic-assisted-approach-in-management-of-gallstone-ileus
#19
Mehulkumar Joshi, Cecilia Nguyen, Javier Andrade, Jacob Eisdorfer
No abstract text is available yet for this article.
February 1, 2019: American Surgeon
https://read.qxmd.com/read/30814836/recurrence-of-citrobacter-koseri-associated-intra-abdominal-infection-2-years-after-spilled-gallstones-during-laparoscopic-cholecystectomy
#20
Kelly Cummings, Teresa Khoo, Timothy Pal, George Psevdos
Spilled gallstones during laparoscopic cholecystectomy (LC) are common. Lost gallstones can lead to complications such as intra-abdominal abscesses, which can occur days, months, or even years after the procedure. Citrobacter koseri belongs to the family of Enterobacteriaceae. It is a low-virulence pathogen; however, it is linked to infections of the urinary tract and abdomen. We report the case of a 70-year-old diabetic male who presented with C. koseri - associated subhepatic abscess. Two years prior, he had emphysematous cholecystitis and liver abscess caused by C...
January 2019: Journal of Global Infectious Diseases
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